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
$3.4k
Average
$21.2k
Median
$18.8k
High
$41.5k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 10.3× 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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25 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 2 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $32.8k | $32.8k | $7.0k | 21% | — | $25.7k – $39.8k |
| 3 | Highland Hospital Rochester, NY fee schedule · outpatient | 7 | $16.3k | $13.9k | $9.5k | 68% | — | $3.7k – $29.0k |
| 4 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 5 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 6 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $18.8k | $18.8k | $3.2k | 17% | — | $15.6k – $22k |
| 7 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 8 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $35.0k | $35.0k | — | — | — | $35.0k – $35.0k |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 11 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $41.5k | $41.5k | — | — | — | $41.5k – $41.5k |
| 12 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $41.5k | $41.5k | — | — | — | $41.5k – $41.5k |
| 13 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $41.5k | $41.5k | — | — | — | $41.5k – $41.5k |
| 14 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $24.9k | $24.9k | — | — | — | $24.9k – $24.9k |
| 15 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $40.3k | $40.3k | $25.9k | 64% | — | $14.4k – $66.1k |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | St Mary Medical Center Langhorne, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $31.0k | $31.0k | — | — | — | $31.0k – $31.0k |
| 19 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | St Peters Hospital Albany, NY facility · other · both | 2 | $17.4k | $17.4k | $1.5k | 9% | — | $15.9k – $18.9k |
| 21 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 22 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $34.6k | $34.6k | — | — | — | $34.6k – $34.6k |
| 23 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 8 | $25.4k | $20.9k | $10.9k | 52% | — | $4.3k – $38.2k |
| 24 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $5.7k | $6.9k | $3.5k | 51% | — | $3.3k – $11.6k |
| 25 | Upstate University Hospital Syracuse, NY facility · fee schedule · outpatient | 3 | $29.3k | $24.2k | $7.6k | 32% | — | $13.4k – $29.9k |
← Payers reporting HCPCS C9772 · Snapshot 20261111T120946Z-9134e7f7