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
Revasc intra lithotrip-stent
Syracuse, NY
See all hospitals reporting HCPCS C9765 →Price type
Crouse Hospital’s median price of $22.9k is 21% above the median hospital's median price ($18.9k), higher than 76% 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: 6 payers, 16 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 | Excellus govt programs/ special products fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 2 | Molina medicaid hmo fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 4 | UnitedHealthcare medicaid fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 5 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 6 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 7 | Molina essential fee schedule · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 8 | Excellus medicare advantage fee schedule · outpatient | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
| 9 | Aetna commerical percent of total billed charges · outpatientfrom % of charges | $20.9k | $20.9k | — | — | 1–10 | $20.9k – $20.9k |
| 10 | Aetna raymour furniture company percent of total billed charges · outpatientfrom % of charges | $20.9k | $20.9k | — | — | 1–10 | $20.9k – $20.9k |
| 11 | Aetna medicare fee schedule · outpatient | $22.9k | $22.9k | — | — | — | $22.9k – $22.9k |
| 12 | Humana medicare advantage fee schedule · outpatient | $22.9k | $22.9k | — | — | — | $22.9k – $22.9k |
| 13 | UnitedHealthcare medicare fee schedule · outpatient | $22.9k | $22.9k | — | — | — | $22.9k – $22.9k |
| 14 | WellCare medicare advantage fee schedule · outpatient | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 15 | Excellus bcbs fee schedule · outpatient | $41.1k | $41.1k | — | — | — | $41.1k – $41.1k |
| 16 | Excellus hospital blue fee schedule · outpatient | $41.1k | $41.1k | — | — | — | $41.1k – $41.1k |
Last updated: May 19, 2026
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