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 intra lithotrip-stent
Devils Lake, ND
See all hospitals reporting HCPCS C9765 →Price type
Altru Hospital Devils Lake’s median price of $20.8k is 10% above the median hospital's median price ($18.9k), higher than 66% of the 1,752 hospitals reporting HCPCS C9765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 4 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $19.8k | $19.8k | — | — | — | $19.8k – $19.8k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $19.7k | $20.0k | $11.1k | 56% | — | $6.5k – $33.7k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $25.6k | $25.6k | $3.7k | 15% | — | $21.9k – $29.4k |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $32.5k | $32.5k | — | — | — | $32.5k – $32.5k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $36.7k | $36.7k | — | — | — | $36.7k – $36.7k |
Last updated: Mar 1, 2026
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