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
REVASC LITHOTRIP TIBI/PERONE
Low
$3.6k
Average
$15.4k
Median
$15.3k
High
$43.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 2.1× 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 · +13 other terms | 32 | $11.7k | $12.9k | $4.2k | 33% | 4–40 | $10.4k – $39.8k |
| 2 | Aetna fee schedule · outpatient · +28 other terms | 451 | $12.3k | $13.6k | $8.0k | 59% | 1–10 | $1 – $77.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 484 | $11.5k | $17.0k | $15.9k | 94% | — | $1 – $333.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 322 | $16.0k | $19.5k | $10.4k | 53% | — | $0 – $80.7k |
| 5 | Humana fee schedule · outpatient · +22 other terms | 314 | $11.5k | $11.6k | $4.0k | 34% | — | $1 – $33.8k |
| 6 | Cigna fee schedule · outpatient · +22 other terms | 196 | $11.6k | $12.7k | $9.3k | 73% | — | $2.4k – $59.7k |
| 7 | Molina fee schedule · outpatient · +20 other terms | 181 | $11.3k | $8.8k | $5.8k | 66% | — | $1 – $29.0k |
| 8 | WellCare fee schedule · outpatient · +14 other terms | 129 | $11.9k | $12.7k | $4.4k | 34% | — | $4.6k – $26.6k |
| 9 | Anthem case rate · outpatient · +21 other terms | 108 | $14.4k | $15.9k | $7.1k | 44% | — | $1.3k – $44.2k |
| 10 | Kaiser fee schedule · outpatient · +18 other terms | 90 | $17.7k | $19.9k | $11.8k | 59% | — | $120 – $83.5k |
| 11 | MultiPlan fee schedule · outpatient · +15 other terms | 73 | $17.6k | $21.1k | $7.4k | 35% | — | $10.6k – $37.1k |
| 12 | Ambetter facility · fee schedule · outpatient · +13 other terms | 68 | $20.6k | $21.7k | $4.0k | 19% | — | $10.4k – $27.3k |
| 13 | Devoted facility · fee schedule · outpatient · +10 other terms | 63 | $11.6k | $11.8k | $999 | 8% | — | $10.5k – $15.0k |
| 14 | Aetna Better Health fee schedule · outpatient · +13 other terms | 59 | $6.0k | $6.1k | $1.3k | 22% | — | $5.1k – $12.9k |
| 15 | First Health fee schedule · outpatient · +14 other terms | 53 | $13.4k | $12.6k | $10.0k | 79% | — | $4.4k – $36.2k |
| 16 | Caresource fee schedule · outpatient · +16 other terms | 44 | $11.3k | $7.7k | $6.5k | 85% | — | $1 – $25.1k |
| 17 | Oscar facility · fee schedule · outpatient · +13 other terms | 40 | $18.0k | $17.7k | $2.4k | 13% | — | $13.0k – $21.7k |
| 18 | Optum fee schedule · outpatient · +14 other terms | 39 | $11.6k | $13.6k | $7.8k | 57% | — | $3.2k – $42.6k |
| 19 | Highmark facility · fee schedule · outpatient · +13 other terms | 37 | $19.8k | $18.9k | $10.7k | 57% | — | $3.5k – $51.3k |
| 20 | Tricare fee schedule · outpatient · +12 other terms | 34 | $11.9k | $17.5k | $12.6k | 72% | — | $28 – $50k |
| 21 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 33 | $11.2k | $9.0k | $3.2k | 36% | — | $5.0k – $12.3k |
| 22 | Clover fee schedule · outpatient · +6 other terms | 32 | $12.4k | $12.2k | $702 | 6% | — | $10.4k – $13.4k |
| 23 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $14.7k | $14.6k | $2.9k | 20% | — | $11.0k – $19.2k |
| 24 | Superior Healthplan facility · fee schedule · outpatient · +5 other terms | 24 | $8.5k | $8.2k | $3.6k | 44% | — | $4.8k – $12.2k |
| 25 | Medica fee schedule · outpatient · +16 other terms | 23 | $11.5k | $9.8k | $4.2k | 43% | — | $1.5k – $22.8k |
← Hospitals reporting HCPCS C9772 · Snapshot 20261111T120946Z-9134e7f7