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 lith-sten-ath tib/per
Arlington, TX
See all hospitals reporting HCPCS C9775 →Price type
AMH Cath Labs LLC’s median price of $19.2k is about the same as the median hospital's median price ($19.1k), higher than 51% of the 1,545 hospitals reporting HCPCS C9775. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 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 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 3 | WellCare managed medicaid fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 4 | Molina managed medicaid fee schedule · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 5 | Aetna managed medicaid fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 7 | Blue Cross Blue Shield exchange case rate · outpatient | $18.5k | $18.5k | — | — | — | $18.5k – $18.5k |
| 8 | Humana medicare advantage case rate · outpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 9 | Humana medicare advantage ppo case rate · outpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 10 | Molina medicare advantage case rate · outpatient | $19.4k | $19.4k | — | — | — | $19.4k – $19.4k |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $19.4k | $19.4k | — | — | — | $19.4k – $19.4k |
| 12 | UnitedHealthcare all payer case rate · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $20.3k | $20.3k | — | — | — | $20.3k – $20.3k |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 16 | UnitedHealthcare ppo case rate · outpatient | $24.8k | $24.8k | — | — | — | $24.8k – $24.8k |
| 17 | Blue Cross Blue Shield hmo case rate · outpatient | $37.8k | $37.8k | — | — | — | $37.8k – $37.8k |
| 18 | Blue Cross Blue Shield ppo case rate · outpatient | $41.9k | $41.9k | — | — | — | $41.9k – $41.9k |
| 19 | Blue Cross Blue Shield traditional case rate · outpatient | $134.2k | $134.2k | — | — | — | $134.2k – $134.2k |
Last updated: Apr 21, 2026
See Endovascular leg artery repair with lithotripsy, stent and atherectomy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.