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 REVASCULARIZATION,ENDOVASCULAR, OPEN OR PERCUTANEOUS,TIBIAL/PERONEAL ARTERY(IES),W/INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY,INC ANGIOPLASTY WITHIN SAME VESSEL(S),WHEN PERFORMED
Low
$13.8k
Average
$25.9k
Median
$19.5k
High
$59.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 2.9× 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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64 hospital rates
iThe hospitals that file a Tricare 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $58.1k | $58.1k | — | — | — | $58.1k – $58.1k |
| 2 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 3 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 4 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 5 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 6 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 7 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 8 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 9 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $35.4k | $35.4k | — | — | — | $35.4k – $35.4k |
| 10 | Desert Valley Hospital Victorville, CA fee schedule · outpatient | 2 | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 11 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $32.1k | $32.1k | — | — | — | $32.1k – $32.1k |
| 12 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 13 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 14 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 15 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 16 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 17 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36.0k | $36.0k | — | — | — | $36.0k – $36.0k |
| 18 | Hackettstown Medical Center Hackettstown, NJ other · both | 2 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 19 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 20 | Harlingen Medical Center Harlingen, TX fee schedule · outpatient | 1 | $18.3k | $18.3k | — | — | — | $18.3k – $18.3k |
| 21 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 22 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $47k | $47k | — | — | — | $47k – $47k |
| 23 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 24 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 25 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $59.0k | $59.0k | — | — | — | $59.0k – $59.0k |
← Payers reporting HCPCS C9774 · Snapshot 20261111T120946Z-9134e7f7