Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL ANGIOPLASTY, INCLUDING ALL MANEUVERS NECESSARY FOR ACCESSING AND SELECTIVELY CATHETERIZING THE ARTERY AND CROSSING THE LESION, INCLUDING ALL IMAGING GUIDANCE AND RADIOLOGICAL SUPERVISION AND INTERPRETATION NECESSARY TO PERFORM THE ANGIOPLASTY WITHIN THE SAME ARTERY, UNILATERAL; COMPLEX LESION, EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Low
$156
Average
$8.1k
Median
$3.0k
High
$47.7k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 103.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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34 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $12.9k | $15.1k | $3.0k | 20% | — | $12.9k – $19.4k |
| 3 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 4 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 5 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 6 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $39.1k | $45.7k | $9.2k | 20% | — | $39.1k – $58.7k |
| 8 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3.3k | $3.9k | $785 | 20% | — | $3.3k – $5.0k |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3.3k | $3.9k | $778 | 20% | — | $3.3k – $5.0k |
| 10 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $348 | $348 | — | — | — | $348 – $348 |
| 11 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 12 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 13 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 14 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $41.1k | $47.7k | $9.4k | 20% | — | $41.1k – $61.1k |
| 15 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 16 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 17 | Saint Marys Hospital Waterbury, CT facility · fee schedule · both | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 18 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $2.3k | $2.3k | $1.5k | 64% | — | $819 – $3.8k |
| 19 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $3.1k | $617 | 20% | — | $2.6k – $3.9k |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 24 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $3.0k | $612 | 20% | — | $2.6k – $3.9k |
| 25 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $14.4k | $16.8k | $3.4k | 20% | — | $14.4k – $21.6k |
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