HCPCS C9399

Unclassified drugs or biologicals

Current code21 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 C9399 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$33.60 – $70.50$84.00 – $176
Cascade Valley HospitalArlington$2,010 – $2,1001 plan$1,607 – $1,678$2,009 – $2,097
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$44.16 – $3,719$110 – $9,298
Highline Medical CenterBurienFile dated 2026-02-28—$339 – $4,493$1,112 – $14,713
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$40.74 – $3,140$102 – $7,850
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$21.78 – $70.50$54.45 – $176
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$31.44 – $70.50$78.60 – $176
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$33.60 – $9,786$84.00 – $24,465
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$44.16 – $92.68$110 – $232
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$5,528$6,910
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$8,477 – $8,815$16,954 – $17,630
Skagit Valley HospitalMount Vernon—$1,607 – $1,678$2,009 – $2,097
St Anthony HospitalGig HarborFile dated 2026-02-28—$338 – $4,475$1,112 – $14,713
St Clare HospitalLakewoodFile dated 2026-02-28—$320 – $4,241$1,112 – $14,713
St Elizabeth HospitalEnumclawFile dated 2026-02-28$189 – $3,0465 plans$393 – $5,199$1,112 – $14,713
St Francis Community HospitalFederal WayFile dated 2026-02-28—$349 – $4,617$1,112 – $14,713
St Joseph Medical CenterTacomaFile dated 2026-02-28—$368 – $4,873$1,112 – $14,713
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$491 – $6,494$1,112 – $14,713
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$31.70 – $27,179$79.25 – $67,948
Virginia Mason Medical CenterSeattle—$128 – $15,973$251 – $31,320
Yakima Valley MemorialYakimaFile dated 2026-08-27—$161 – $6,995$404 – $17,486

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.