REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, 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 STENT PLACEMENT, ATHERECTOMY, AND ANGIOPLASTY WHEN PERFORMED, WITHIN THE SAME ARTERY, UNILATERAL; STRAIGHTFORWARD LESION, EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)

Reported by 21 hospitals in the network under the fee schedule methodology.

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All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$293

Average

$5.1k

Median

$1.9k

High

$47.0k

Hospitals reporting this code

#	Hospital	Location
1	Glendale Adventist Medical Center	Glendale, CA	$45.7k	$47.0k	$32.2k	—	$299	$114.3k
2	Nebraska Medical Center	Omaha, NE	$281	$423	$229	—	$74	$694
3	Bellevue Medical Center Llc	Bellevue, NE	$281	$423	$229	—	$74	$694
4	Keck Hospital of USC	Los Angeles, CA	$1.2k	$1.6k	$768	—	$1.1k	$3.0k
5	USC Kenneth Norris Jr Cancer Hospital	Los Angeles, CA	$2.0k	$2.3k	$1.1k	—	$1.2k	$4.0k
6	USC Verdugo Hills Hospital	Glendale, CA	$3.2k	$3.2k	$1.2k	—	$1.9k	$4.4k
7	University of California Davis Medical Center	Sacramento, CA	$293	$293	—	—	$293	$293
8	Beth Israel Deaconess Hospital-Milton Inc	Milton, MA	$478	$478	—	—	$478	$478
9		San Diego, CA	$1.6k	$1.6k	$107	—	$1.5k	$1.8k
10	Clinton Memorial Hospital	Wilmington, OH	$955	$1.9k	$1.7k	—	$927	$4.8k

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REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL AND PERONEAL VASCULAR TERRITORY, WITH TRANSLUMINAL STENT PLACEMENT, WITH TRANSLUMINAL ATHERECTOMY, INCLUDING TRANSLUMINAL ANGIOPLASTY WHEN PERFORMED, 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 STENT PLACEMENT, ATHERECTOMY, AND ANGIOPLASTY WHEN PERFORMED, WITHIN THE SAME ARTERY, UNILATERAL; STRAIGHTFORWARD LESION, EACH ADDITIONAL VESSEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)