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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

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—$218 – $6,365$546 – $15,913
Cascade Valley HospitalArlington$685 – $1,3971 plan$547 – $1,117$684 – $1,396
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$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—$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—$218 – $6,365$546 – $15,913
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$218 – $6,365$546 – $15,913
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$218 – $6,365$546 – $15,913
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$218 – $6,365$546 – $15,913
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$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—$547 – $1,117$684 – $1,396
St Anthony HospitalGig HarborFile dated 2026-02-28—$385 – $36,703$1,267 – $120,675
St Clare HospitalLakewoodFile dated 2026-02-28—$365 – $34,783$1,267 – $120,675
St Elizabeth HospitalEnumclawFile dated 2026-02-28$215 – $24,9805 plans$448 – $42,642$1,267 – $120,675
St Francis Community HospitalFederal WayFile dated 2026-02-28—$397 – $37,870$1,267 – $120,675
St Joseph Medical CenterTacomaFile dated 2026-02-28—$420 – $39,967$1,267 – $120,675
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$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—$68.85 – $4,168$135 – $8,172
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.