HCPCS C2639

Brachytherapy source, non-stranded, iodine-125, per source

Current codeConventional Radiation Treatment38 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.

Prices for HCPCS C2639 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$313 – $4645 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$286 – $3035 plans——
EvergreenHealth Medical CenterKirkland—$73.60$92.00
Harborview Medical CenterSeattleFile dated 2026-04-01—$516 – $1,375$737 – $1,964
Highline Medical CenterBurienFile dated 2026-02-28—$65.76$215
Island HospitalAnacortes$295 – $3203 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$296 – $3205 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$291 – $3145 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$291 – $3145 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$297 – $3215 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$284 – $3015 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$366 – $4015 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth St Joseph Medical CenterBellingham$41.002 plans$240$369
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$98.00$140
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$140$269
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$113$161
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon—$160$200
St Anthony HospitalGig HarborFile dated 2026-02-28—$65.50$215
St Clare HospitalLakewoodFile dated 2026-02-28—$62.07$215
St Elizabeth HospitalEnumclawFile dated 2026-02-28$36.61 – $44.585 plans$76.10$215
St Francis Community HospitalFederal WayFile dated 2026-02-28—$67.58$215
St Joseph Medical CenterTacomaFile dated 2026-02-28—$71.33$215
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$95.04$215
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$27.36 – $169$57.00 – $352
Swedish IssaquahIssaquahFile dated 2026-04-01—$27.36$57.00
Swedish Medical CenterSeattleFile dated 2026-04-01—$27.36 – $169$57.00 – $352
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$27.36$57.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$298 – $3215 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$38.61 – $822$55.16 – $1,174
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$284 – $3305 plans——

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$36.64 (APC 2639)
Surgery center payment (national)
$36.64