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
HC REVASC INTRAVASC LITHOTRIPSY
Low
$3.3k
Average
$13.9k
Median
$13.1k
High
$50.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 2.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medicare other · both · +14 other terms | 38 | $12.2k | $14.2k | $4.8k | 34% | 39–165 | $10.4k – $40.4k |
| 2 | Aetna fee schedule · outpatient · +31 other terms | 459 | $12.3k | $13.5k | $8.2k | 61% | 5–50 | $1 – $77.6k |
| 3 | UnitedHealthcare case rate · outpatient · +27 other terms | 445 | $11.3k | $11.0k | $5.4k | 49% | 1–10 | $1 – $40k |
| 4 | Humana fee schedule · outpatient · +23 other terms | 276 | $11.6k | $12.0k | $3.1k | 26% | 1–10 | $1 – $33.8k |
| 5 | Anthem case rate · outpatient · +26 other terms | 114 | $12.7k | $13.3k | $6.2k | 47% | 1–10 | $1.3k – $44.1k |
| 6 | Medicaid per diem · both · +12 other terms | 9 | $2.0k | $2.0k | $172 | 9% | 1–10 | $1.9k – $2.2k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 331 | $12.4k | $14.8k | $9.3k | 63% | — | $0 – $80.7k |
| 8 | Cigna fee schedule · outpatient · +23 other terms | 206 | $11.6k | $12.3k | $9.2k | 75% | — | $13 – $59.7k |
| 9 | WellCare fee schedule · outpatient · +16 other terms | 136 | $12.2k | $12.7k | $4.1k | 32% | — | $2.0k – $26.6k |
| 10 | Molina fee schedule · outpatient · +18 other terms | 129 | $13.6k | $14.1k | $6.1k | 43% | — | $1 – $29.0k |
| 11 | Kaiser fee schedule · outpatient · +19 other terms | 83 | $14.4k | $17.8k | $11.4k | 64% | — | $2.6k – $83.5k |
| 12 | Ambetter facility · fee schedule · outpatient · +13 other terms | 70 | $20.6k | $21.7k | $4.1k | 19% | — | $10.4k – $27.3k |
| 13 | Devoted facility · fee schedule · outpatient · +12 other terms | 69 | $11.7k | $11.7k | $1.1k | 9% | — | $10.5k – $15.0k |
| 14 | MultiPlan fee schedule · outpatient · +17 other terms | 69 | $17.6k | $17.4k | $6.1k | 35% | — | $1 – $44.5k |
| 15 | Caresource fee schedule · outpatient · +16 other terms | 45 | $11.3k | $7.8k | $6.9k | 89% | — | $1 – $25.1k |
| 16 | First Health fee schedule · outpatient · +13 other terms | 44 | $14.0k | $15.3k | $5.0k | 33% | — | $4.4k – $38.1k |
| 17 | Oscar facility · fee schedule · outpatient · +14 other terms | 44 | $18.2k | $15.8k | $5.4k | 34% | — | $1.2k – $21.7k |
| 18 | Tricare fee schedule · outpatient · +11 other terms | 43 | $11.5k | $15.3k | $10.9k | 71% | — | $28 – $50k |
| 19 | Highmark facility · fee schedule · outpatient · +13 other terms | 41 | $19.2k | $17.3k | $11.0k | 64% | — | $2.0k – $51.3k |
| 20 | Optum fee schedule · outpatient · +16 other terms | 40 | $11.6k | $13.4k | $7.4k | 56% | — | $5.5k – $42.6k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 34 | $12.4k | $12.2k | $770 | 6% | — | $10.4k – $13.9k |
| 22 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $14.7k | $14.6k | $2.9k | 20% | — | $11.0k – $19.2k |
| 23 | Superior Healthplan facility · fee schedule · outpatient · +5 other terms | 24 | $12.2k | $11.3k | $2.7k | 24% | — | $437 – $12.2k |
| 24 | Bcbs La fee schedule · outpatient · +3 other terms | 22 | $9.8k | $9.4k | $1.9k | 20% | — | $3.1k – $14.5k |
| 25 | Medica fee schedule · outpatient · +17 other terms | 22 | $7.0k | $8.8k | $3.8k | 44% | — | $1.7k – $18.2k |
← Hospitals reporting HCPCS C9764 · Snapshot 20261111T120946Z-9134e7f7