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 Lithotripsy & Stent Other Lower Ext Artery
Amarillo, TX
See all hospitals reporting HCPCS C9765 →Price type
BSA Hospital’s median price of $16.3k is 14% below the median hospital's median price ($18.9k), higher than 23% of the 1,751 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: 10 payers, 24 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 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | $544 | 20% | — | $2.2k – $3.3k |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | $544 | 20% | — | $2.2k – $3.3k |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $11.3k | $11.3k | $2.3k | 20% | — | $9.1k – $13.6k |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $11.3k | $11.3k | $2.3k | 20% | — | $9.1k – $13.6k |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $11.3k | $11.3k | $2.3k | 20% | — | $9.1k – $13.6k |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $11.3k | $11.3k | $2.3k | 20% | — | $9.1k – $13.6k |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $11.3k | $11.3k | $2.3k | 20% | — | $9.1k – $13.6k |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $11.3k | $11.3k | $2.3k | 20% | — | $9.1k – $13.6k |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $11.3k | $11.3k | $2.3k | 20% | — | $9.1k – $13.6k |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $12.4k | $12.4k | $2.5k | 20% | — | $9.9k – $14.9k |
| 11 | Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges | $13.7k | $13.7k | $2.7k | 20% | — | $10.9k – $16.4k |
| 12 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $17.8k | $17.8k | $3.6k | 20% | — | $14.2k – $21.4k |
| 13 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $17.8k | $17.8k | $3.6k | 20% | — | $14.2k – $21.4k |
| 14 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $18.9k | $18.9k | $3.8k | 20% | — | $15.1k – $22.7k |
| 15 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $20.3k | $20.3k | $4.1k | 20% | — | $16.3k – $24.4k |
| 16 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $20.3k | $20.3k | $4.1k | 20% | — | $16.3k – $24.4k |
| 17 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $20.3k | $20.3k | $4.1k | 20% | — | $16.3k – $24.4k |
| 18 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $21.1k | $21.1k | $4.2k | 20% | — | $16.9k – $25.3k |
| 19 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $21.1k | $21.1k | $4.2k | 20% | — | $16.9k – $25.3k |
| 20 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $21.1k | $21.1k | $4.2k | 20% | — | $16.9k – $25.3k |
| 21 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $21.8k | $21.8k | $4.4k | 20% | — | $17.4k – $26.1k |
| 22 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $21.8k | $21.8k | $4.4k | 20% | — | $17.4k – $26.1k |
| 23 | Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges | $24.7k | $24.7k | $4.9k | 20% | — | $19.8k – $29.6k |
| 24 | MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges | $24.7k | $24.7k | $4.9k | 20% | — | $19.8k – $29.6k |
Last updated: Feb 12, 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.