HCPCS C9781

Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed

Current codeArthroscopy - Upper Extremity28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS C9781 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$22,916 – $66,42413 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$22,238 – $58,1949 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$23,787 – $31,6483 plans——
Island HospitalAnacortes$4,241 – $27,5807 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$7,909 – $40,1887 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$13,821 – $28,6139 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$12,447 – $102,6239 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$22,916 – $61,62914 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$22,916 – $61,62914 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$22,916 – $61,6299 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$21,622 – $58,06410 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$7,297 – $39,24912 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5,419 – $47,46213 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$25,125 – $96,4999 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,985 – $52,45113 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$7,246 – $45,34513 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$11,662 – $72,81210 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,484 – $57,68514 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3,304 – $52,64414 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$7,277 – $63,23814 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7,277 – $63,06121 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7,277 – $63,06115 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$22,916 – $61,62914 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$23,787 – $55,07311 plans——
Virginia Mason Medical CenterSeattle$19,900 – $47,4708 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$37,8111 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$19,271 – $43,96912 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)
$13,117 (APC 5115)
Surgery center payment (national)
$10,218