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
CL REVASC LITH-STEN-ATH TIB/PER
Bartow, FL
See all hospitals reporting HCPCS C9775 →Price type
Bartow Regional Medical Center’s median price of $27.7k is 45% above the median hospital's median price ($19.1k), higher than 82% of the 1,551 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: 10 payers, 43 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 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 2 | Humana medicaid hmo facility · case rate · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 3 | Molina medicaid hmo facility · case rate · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 4 | Aetna medicaid hmo facility · case rate · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 5 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 6 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 7 | Aetna medicare ppo facility · case rate · outpatient | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 8 | Blue Cross Blue Shield medicare hmo facility · case rate · outpatient | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 9 | UnitedHealthcare medicare hmo facility · case rate · outpatient | $19.3k | $19.3k | — | — | — | $19.3k – $19.3k |
| 10 | UnitedHealthcare commercial hmo facility · fee schedule · outpatient | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
| 11 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 12 | Aetna medicare hmo facility · case rate · outpatient | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 13 | Cigna medicare hmo facility · case rate · outpatient | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 14 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 15 | Humana medicare hmo facility · case rate · outpatient | $22.5k | $22.5k | — | — | — | $22.5k – $22.5k |
| 16 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $24.3k | $24.3k | — | — | — | $24.3k – $24.3k |
| 17 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $24.5k | $24.5k | — | — | — | $24.5k – $24.5k |
| 18 | WellCare medicare hmo facility · case rate · outpatient | $25.2k | $25.2k | — | — | — | $25.2k – $25.2k |
| 19 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $25.4k | $25.4k | — | — | — | $25.4k – $25.4k |
| 20 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $25.8k | $25.8k | — | — | — | $25.8k – $25.8k |
| 21 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $27.6k | $27.6k | — | — | — | $27.6k – $27.6k |
| 22 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $27.7k | $27.7k | — | — | — | $27.7k – $27.7k |
| 23 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $27.9k | $27.9k | — | — | — | $27.9k – $27.9k |
| 24 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $29.5k | $29.5k | — | — | — | $29.5k – $29.5k |
| 25 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $31.0k | $31.0k | — | — | — | $31.0k – $31.0k |
Last updated: Jan 1, 2026
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