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 Lithotrip Tibi/Perone
Falls, MT
See all hospitals reporting HCPCS C9772 →Price type
Benefis Hospitals Inc’s median price of $21.7k is 70% above the median hospital's median price ($12.8k), higher than 89% of the 1,715 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: 11 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 bhs hb medicare other · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 2 | Anthem bhs hb medicare other · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 3 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 4 | Kaiser bhs hb medicare other · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 5 | Medicare bhs hb medicare other · outpatient | $11.8k | $11.8k | — | — | 1–10 | $11.8k – $11.8k |
| 6 | WellCare bhs hb medicare other · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 7 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 8 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 9 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $19.3k | $19.3k | — | — | — | $19.3k – $19.3k |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $19.7k | $19.7k | — | — | — | $19.7k – $19.7k |
| 12 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 14 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 15 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 16 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 17 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 18 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 19 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $22.2k | $22.2k | — | — | — | $22.2k – $22.2k |
| 20 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $22.2k | $22.2k | — | — | — | $22.2k – $22.2k |
| 21 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $23.0k | $23.0k | — | — | — | $23.0k – $23.0k |
Last updated: Mar 26, 2026
See Lithotripsy-assisted angioplasty of leg artery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.