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 Intra Lithotrip-Stent
Falls, MT
See all hospitals reporting HCPCS C9765 →Price type
Benefis Hospitals Inc’s median price of $35.2k is 86% above the median hospital's median price ($18.9k), higher than 95% of the 1,757 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: 12 payers, 22 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 | Tricare bhs hb tricare other · outpatient | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 2 | Aetna bhs hb medicare other · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 3 | Anthem bhs hb medicare other · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 4 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 5 | Kaiser bhs hb medicare other · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 6 | Medicare bhs hb medicare other · outpatient | $18.7k | $18.7k | — | — | 1–10 | $18.7k – $18.7k |
| 7 | WellCare bhs hb medicare other · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 8 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $25.4k | $25.4k | — | — | — | $25.4k – $25.4k |
| 9 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $26.9k | $26.9k | — | — | — | $26.9k – $26.9k |
| 10 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $29.3k | $29.3k | — | — | — | $29.3k – $29.3k |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $31.3k | $31.3k | — | — | — | $31.3k – $31.3k |
| 12 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $31.8k | $31.8k | — | — | — | $31.8k – $31.8k |
| 13 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $33.2k | $33.2k | — | — | — | $33.2k – $33.2k |
| 14 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $33.2k | $33.2k | — | — | — | $33.2k – $33.2k |
| 15 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $33.6k | $33.6k | — | — | — | $33.6k – $33.6k |
| 16 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $35.2k | $35.2k | — | — | — | $35.2k – $35.2k |
| 17 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $35.2k | $35.2k | — | — | — | $35.2k – $35.2k |
| 18 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $35.2k | $35.2k | — | — | — | $35.2k – $35.2k |
| 19 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $35.2k | $35.2k | — | — | — | $35.2k – $35.2k |
| 20 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $36.0k | $36.0k | — | — | — | $36.0k – $36.0k |
| 21 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $36.0k | $36.0k | — | — | — | $36.0k – $36.0k |
| 22 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $37.1k | $37.1k | — | — | — | $37.1k – $37.1k |
Last updated: Mar 26, 2026
See Lower leg artery repair with lithotripsy and stent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.