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 TBL/PNL IVL ST ATH
Northridge, CA
See all hospitals reporting HCPCS C9775 →Price type
Dignity Community Care’s median price of $22.8k is 19% above the median hospital's median price ($19.1k), higher than 71% of the 1,544 hospitals reporting HCPCS C9775. 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, 19 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 commercial|exchange case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 2 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 3 | Anthem commercial|all other plans case rate · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 4 | Anthem commercial|mcs case rate · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 5 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 6 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 7 | Aetna medicare|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 8 | Anthem medicare|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 9 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 10 | First Health commercial|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 11 | Humana commercial|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 12 | Humana medicare|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 13 | Kaiser medicare|all plans fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 14 | Molina medicare|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 15 | UnitedHealthcare medicare|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 16 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $43.6k | $43.6k | — | — | — | $43.6k – $43.6k |
| 17 | MultiPlan commercial|all plans fee schedule · inpatient | $53.7k | $53.7k | — | — | — | $53.7k – $53.7k |
| 18 | MultiPlan commercial|all plans fee schedule · outpatient | $53.7k | $53.7k | — | — | — | $53.7k – $53.7k |
| 19 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $63.7k | $63.7k | — | — | — | $63.7k – $63.7k |
Last updated: Feb 28, 2026
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