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HCPCS C1877

Stent, non-coated/non-covered, without delivery system

Current codeCardiac Stent38 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$143 – $5,272$358 – $13,181
Cascade Valley HospitalArlington$331 – $7,6571 plan$264 – $6,007$331 – $7,509
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$143 – $5,272$358 – $13,181
Harborview Medical CenterSeattleFile dated 2026-04-01—$538 – $22,595$769 – $32,278
Highline Medical CenterBurienFile dated 2026-02-28—$75,865$248,448
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$403 – $4,578$575 – $6,540
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$143 – $5,272$358 – $13,181
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$143 – $5,272$358 – $13,181
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$143 – $5,272$358 – $13,181
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$143 – $5,272$358 – $13,181
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$143 – $5,272$358 – $13,181
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$130 – $140$260 – $280
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$565 – $6,164$808 – $8,806
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$599 – $9,985$1,152 – $19,202
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$565 – $6,164$808 – $8,806
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$536 – $5,889$765 – $8,413
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$663 – $8,386$1,274 – $16,127
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$536 – $5,889$765 – $8,413
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$466 – $5,263$666 – $7,519
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$599 – $9,985$1,152 – $19,202
Seattle Children's HospitalSeattle$1,301 – $2,18712 plans$5,063 – $6,728$5,063 – $6,728
Skagit Valley HospitalMount Vernon—$264 – $6,007$331 – $7,509
St Anthony HospitalGig HarborFile dated 2026-02-28—$75,565$248,448
St Clare HospitalLakewoodFile dated 2026-02-28—$71,613$248,448
St Elizabeth HospitalEnumclawFile dated 2026-02-28$69,565 – $82,4105 plans$87,793$248,448
St Francis Community HospitalFederal WayFile dated 2026-02-28—$77,969$248,448
St Joseph Medical CenterTacomaFile dated 2026-02-28—$82,285$248,448
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$109,652$248,448
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$411 – $5,876$855 – $12,242
Swedish IssaquahIssaquahFile dated 2026-04-01—$411 – $5,876$855 – $12,242
Swedish Medical CenterSeattleFile dated 2026-04-01—$411 – $5,876$855 – $12,242
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$411 – $5,876$855 – $12,242
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$143 – $5,272$358 – $13,181
University of Washington Medical CtrSeattleFile dated 2026-04-01—$470 – $20,246$671 – $28,922
Virginia Mason Medical CenterSeattle—$771 – $2,362$1,512 – $4,631
Yakima Valley MemorialYakimaFile dated 2026-08-27—$88.80 – $2,695$222 – $6,737

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.