HCPCS C2628

Catheter, occlusion

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS C2628 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$399 – $13,5262 plans$218 – $6,365$546 – $15,913
Cascade Valley HospitalArlington$58.14 – $1,3967 plans$547 – $1,117$684 – $1,396
Deaconess Medical CenterSpokaneFile dated 2026-08-27$203 – $11,6165 plans$218 – $6,365$546 – $15,913
Harborview Medical CenterSeattleFile dated 2026-04-01—$244 – $10,057$348 – $14,368
Highline Medical CenterBurienFile dated 2026-02-28$545 – $108,6075 plans$387 – $36,849$1,267 – $120,675
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$138 – $8,271$197 – $11,816
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$353 – $12,9536 plans$218 – $6,365$546 – $15,913
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$399 – $11,6162 plans$218 – $6,365$546 – $15,913
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$399 – $11,6162 plans$218 – $6,365$546 – $15,913
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$399 – $11,6162 plans$218 – $6,365$546 – $15,913
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$203 – $11,4575 plans$218 – $6,365$546 – $15,913
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$258 – $3,763$516 – $7,527
PeaceHealth St Joseph Medical CenterBellingham—$1,829$2,814
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$233 – $10,799$333 – $15,427
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$175 – $11,648$336 – $22,400
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$233 – $10,799$333 – $15,427
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$221 – $10,349$315 – $14,784
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$186 – $14,414$357 – $27,720
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$221 – $10,349$315 – $14,784
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$176 – $9,722$252 – $13,888
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$175 – $14,651$336 – $28,174
Skagit Valley HospitalMount Vernon$98.70 – $1,3267 plans$547 – $1,117$684 – $1,396
St Anthony HospitalGig HarborFile dated 2026-02-28$633 – $90,5063 plans$385 – $36,703$1,267 – $120,675
St Clare HospitalLakewoodFile dated 2026-02-28$633 – $90,5063 plans$365 – $34,783$1,267 – $120,675
St Elizabeth HospitalEnumclawFile dated 2026-02-28$422 – $108,6079 plans$448 – $42,642$1,267 – $120,675
St Francis Community HospitalFederal WayFile dated 2026-02-28$633 – $90,5063 plans$397 – $37,870$1,267 – $120,675
St Joseph Medical CenterTacomaFile dated 2026-02-28$633 – $90,5063 plans$420 – $39,967$1,267 – $120,675
St Michael Medical CenterSilverdaleFile dated 2026-02-28$811 – $108,60710 plans$559 – $53,259$1,267 – $120,675
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$115 – $10,860$239 – $22,624
Swedish IssaquahIssaquahFile dated 2026-04-01—$115 – $10,860$239 – $22,624
Swedish Medical CenterSeattleFile dated 2026-04-01—$115 – $10,860$239 – $22,624
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$115 – $10,860$239 – $22,624
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$399 – $11,6162 plans$218 – $6,365$546 – $15,913
University of Washington Medical CtrSeattleFile dated 2026-04-01—$211 – $9,163$301 – $13,090
Virginia Mason Medical CenterSeattle$81.00 – $6,5389 plans$68.85 – $4,168$135 – $8,172
Yakima Valley MemorialYakimaFile dated 2026-08-27$172 – $6,8266 plans$140 – $3,186$350 – $7,965

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.