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 TIB/PERONEAL INTRAVASC LITHOTRIPSY
Summit, WI
See all hospitals reporting HCPCS C9772 →Price type
Aurora Medical Center Summit’s median price of $18.4k is 44% above the median hospital's median price ($12.8k), higher than 82% of the 1,707 hospitals reporting HCPCS C9772. 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, 21 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 | Aetna hmo case rate · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 2 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 3 | Molina commercial case rate · outpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 4 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 5 | UnitedHealthcare exchange case rate · outpatient | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 6 | UnitedHealthcare charter case rate · outpatient | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 7 | UnitedHealthcare nexus case rate · outpatient | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 8 | Anthem blue priority case rate · outpatient | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 9 | Cigna ppo-gppo case rate · outpatient | $19k | $19k | — | — | — | $19k – $19k |
| 10 | UnitedHealthcare hmo case rate · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 13 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $23.4k | $23.4k | — | — | — | $23.4k – $23.4k |
| 14 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $23.4k | $23.4k | — | — | — | $23.4k – $23.4k |
| 15 | Anthem blue preferred case rate · outpatient | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $23.9k | $23.9k | — | — | — | $23.9k – $23.9k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $23.9k | $23.9k | — | — | — | $23.9k – $23.9k |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
Last updated: Nov 21, 2025
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