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 REVASC LITHTRIPSY-STENT-ATH TIBIAL/PERONEAL
Buda, TX
See all hospitals reporting HCPCS C9775 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $18.4k is 4% below the median hospital's median price ($19.1k), higher than 44% 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: 8 payers, 31 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 | Cigna local plus facility · case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 2 | Cigna hmo/ppo facility · case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 3 | Superior Healthplan medicaid facility · fee schedule · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 4 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 5 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $11.9k | $11.9k | $479 | 4% | — | $11.4k – $12.4k |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $14.0k | $14.0k | $564 | 4% | — | $13.4k – $14.5k |
| 7 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 8 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 9 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 10 | Humana commercial hmo facility · case rate · outpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 11 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 12 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $17.0k | $17.0k | — | — | — | $17.0k – $17.0k |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 14 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 15 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 16 | UnitedHealthcare commercial facility · case rate · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 17 | Humana medicare facility · fee schedule · outpatient | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 18 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 19 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $19.3k | $19.3k | — | — | — | $19.3k – $19.3k |
| 20 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $20.6k | $20.6k | — | — | — | $20.6k – $20.6k |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 22 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $21.9k | $21.9k | — | — | — | $21.9k – $21.9k |
| 23 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $21.9k | $21.9k | — | — | — | $21.9k – $21.9k |
| 24 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $21.9k | $21.9k | — | — | — | $21.9k – $21.9k |
| 25 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $22.1k | $22.1k | — | — | — | $22.1k – $22.1k |
Last updated: Jun 13, 2026
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