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 INTRAVASC LITHOTRIPSY
Boulder, CO
See all hospitals reporting HCPCS C9764 →Price type
Boulder Community Health’s median price of $23.9k is 98% above the median hospital's median price ($12.1k), higher than 95% of the 1,791 hospitals reporting HCPCS C9764. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser commercial facility · case rate · outpatient | $5.6k | $5.6k | $667 | 12% | — | $4.9k – $6.2k |
| 2 | Kaiser managed care facility · case rate · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 3 | Cigna commercial facility · case rate · outpatient | $6.7k | $6.7k | $972 | 14% | — | $5.8k – $7.7k |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 7 | Humana medicare advantage facility · case rate · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $12.6k | $12.6k | $62 | 0% | — | $12.6k – $12.7k |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 11 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 12 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 13 | UnitedHealthcare commercial facility · fee schedule · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.6k | $17.6k | $4.3k | 24% | — | $13.3k – $21.9k |
| 15 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 16 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 17 | Aetna medicare advantage professional · fee schedule · both | $23.0k | $23.0k | — | — | — | $23.0k – $23.0k |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $23.4k | $23.4k | — | — | — | $23.4k – $23.4k |
| 19 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $23.4k | $23.4k | — | — | — | $23.4k – $23.4k |
| 20 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.7k | $23.7k | — | — | — | $23.7k – $23.7k |
| 21 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.7k | $23.7k | — | — | — | $23.7k – $23.7k |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $27.0k | $27.0k | — | — | — | $27.0k – $27.0k |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $27.0k | $27.0k | — | — | — | $27.0k – $27.0k |
| 24 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $29.4k | $29.4k | — | — | — | $29.4k – $29.4k |
| 25 | Anthem commercial facility · case rate · outpatient | $27.5k | $31.2k | $7.6k | 24% | — | $23.9k – $43.7k |
Last updated: Sep 16, 2026
See Lower limb artery opening with lithotripsy and angioplasty pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.