HCPCS S2067

Breast reconstruction of a single breast with "stacked" deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral

Current code22 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 S2067 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$5,085 – $7,5345 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,653 – $4,9275 plans——
Island HospitalAnacortes$4,801 – $5,2093 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4,813 – $5,1985 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$4,725 – $5,1045 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$4,725 – $5,1045 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,835 – $5,2225 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,620 – $4,8925 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$5,948 – $6,5145 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$4,837 – $5,2245 plans——
Virginia Mason Medical CenterSeattle———
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,622 – $5,3695 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

CMS publishes no national amount for this code.