HCPCS C9604

Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel

Current codePercutaneous Transcatheterization40 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 C9604 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$6,422 – $9,5135 plans$13,157$32,892
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5,875 – $6,2215 plans$18,841$47,102
EvergreenHealth Medical CenterKirkland—$15,002$18,753
Harborview Medical CenterSeattleFile dated 2026-04-01—$22,479$32,112
Highline Medical CenterBurienFile dated 2026-02-28—$9,323$30,533
Island HospitalAnacortes$6,062 – $6,5773 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$25,456$36,365
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$6,077 – $6,5635 plans$13,157$32,892
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5,967 – $6,4445 plans$13,157$32,892
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5,967 – $6,4445 plans$13,157$32,892
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$6,105 – $6,5935 plans$13,157$32,892
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5,834 – $6,1775 plans$18,841$47,102
Olympic Medical CenterPort AngelesFile dated 2026-06-24$7,510 – $8,2265 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$11,841 – $14,209$23,682 – $28,418
PeaceHealth Southwest Medical CenteVancouver$13,3131 plan$64,990 – $73,438$99,984 – $112,982
PeaceHealth St John Medical CenterLongview$10,707 – $14,4133 plans$32,581$50,125
PeaceHealth St Joseph Medical CenterBellingham$14,3962 plans$26,056 – $26,838$40,086 – $41,289
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$22,637$32,338
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$18,281$26,116
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$10,513$20,218
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$15,603$22,290
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$14,873$28,601
Skagit Valley HospitalMount Vernon—$25,378$31,723
St Anthony HospitalGig HarborFile dated 2026-02-28—$9,287$30,533
St Clare HospitalLakewoodFile dated 2026-02-28—$8,801$30,533
St Elizabeth HospitalEnumclawFile dated 2026-02-28$5,191 – $6,3205 plans$10,789$30,533
St Francis Community HospitalFederal WayFile dated 2026-02-28—$9,582$30,533
St Joseph Medical CenterTacomaFile dated 2026-02-28—$10,112$30,533
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$13,476$30,533
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$12,288 – $20,274$25,599 – $42,237
Swedish Medical CenterSeattleFile dated 2026-04-01—$12,288 – $20,274$25,599 – $42,237
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$12,288 – $20,274$25,599 – $42,237
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$6,107 – $6,5965 plans$13,157$32,892
University of Washington Medical CtrSeattleFile dated 2026-04-01—$22,550$32,214
Virginia Mason Medical CenterSeattle—$19,115 – $20,071$37,480 – $39,354
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$5,836 – $6,7805 plans$7,150$17,876

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)
$11,794 (APC 5193)
Surgery center payment (national)
$7,354