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
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4,175 – $6,186 | — | — |
| Deaconess Medical Center | $3,820 – $4,045 | — | — |
| Harborview Medical Center | — | — | — |
| Island Hospital | $3,942 – $4,277 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $3,951 – $4,267 | — | — |
| MultiCare Auburn Medical Center | $3,880 – $4,190 | — | — |
| MultiCare Covington Medical Center | $3,880 – $4,190 | — | — |
| MultiCare Good Samaritan Hospital | $3,970 – $4,287 | — | — |
| MultiCare Valley Hospital | $3,793 – $4,016 | — | — |
| Olympic Medical Center | $4,883 – $5,348 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $3,971 – $4,289 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,795 – $4,409 | — | — |
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