HCPCS C9767

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed

Current code31 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS C9767 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$20,803 – $22,8846 plans$38,554$96,386
Deaconess Medical CenterSpokaneFile dated 2026-08-27$20,019 – $22,0218 plans$38,169$95,422
EvergreenHealth Medical CenterKirkland$19,560 – $19,9395 plans$39,973$49,966
Harborview Medical CenterSeattleFile dated 2026-04-01$21,228 – $23,3515 plans$30,492$43,559
Island HospitalAnacortes$21,878 – $23,19111 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$20,428 – $24,5137 plans$17,535$25,050
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$21,041 – $22,8796 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$20,966 – $23,0637 plans$36,397$90,992
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$20,862 – $22,9487 plans$36,397$90,992
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$20,862 – $22,9487 plans$36,397$90,992
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$20,966 – $23,0637 plans$36,397$90,992
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$20,620 – $22,0217 plans$38,169$95,422
Olympic Medical CenterPort AngelesFile dated 2026-06-24$22,972 – $29,5355 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$21,287 – $22,1393 plans——
PeaceHealth St Joseph Medical CenterBellingham$21,771 – $23,9488 plans$54,427$83,734
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$20,428 – $24,5137 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$21,228 – $33,9657 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$20,428 – $22,4715 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$20,876 – $22,9646 plans$8,085$15,549
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$20,428 – $22,4716 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$21,083 – $33,7337 plans——
Skagit Valley HospitalMount Vernon$17,957 – $18,8554 plans$29,822$37,278
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$20,876 – $25,0518 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$21,287 – $25,5458 plans$11,146 – $18,391$23,221 – $38,315
Swedish Medical CenterSeattleFile dated 2026-04-01$21,228 – $25,4738 plans$11,146 – $18,391$23,221 – $38,315
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$21,228 – $25,4738 plans$11,146 – $18,391$23,221 – $38,315
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$20,966 – $23,0637 plans$36,397$90,992
University of Washington Medical CtrSeattleFile dated 2026-04-01$21,228 – $23,3515 plans$27,431$39,187
Virginia Mason Medical CenterSeattle$13,692 – $20,5389 plans$8,905$17,461
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$21,441 – $24,0138 plans$37,569$93,923

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)
$18,729 (APC 5194)
Surgery center payment (national)
$13,908