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
Santa Maria, CA
See all hospitals reporting HCPCS C9775 →Price type
Dignity Health’s median price of $22.8k is 19% above the median hospital's median price ($19.1k), higher than 71% of the 1,551 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: 8 payers, 22 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 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 2 | Aetna commercial|all other plans case rate · outpatient | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 3 | Aetna commercial|hmo case rate · outpatient | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 4 | Aetna commercial|ppo case rate · outpatient | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 5 | Blue Cross Blue Shield commercial|ffs case rate · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 6 | Anthem commercial|non-mcs case rate · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 7 | Anthem commercial|mcs case rate · outpatient | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 8 | Aetna medicare|all plans fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 9 | Anthem medicare|all plans fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 10 | Humana medicare|all plans fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 11 | Kaiser medicare|all plans fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $38.0k | $38.0k | — | — | — | $38.0k – $38.0k |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $38.0k | $38.0k | — | — | — | $38.0k – $38.0k |
| 15 | First Health commercial|all plans fee schedule · inpatient | $50.6k | $50.6k | — | — | — | $50.6k – $50.6k |
| 16 | First Health commercial|all plans fee schedule · outpatient | $50.6k | $50.6k | — | — | — | $50.6k – $50.6k |
| 17 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $53.6k | $53.6k | — | — | — | $53.6k – $53.6k |
| 19 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $56.1k | $56.1k | — | — | — | $56.1k – $56.1k |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $59.1k | $59.1k | — | — | — | $59.1k – $59.1k |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $59.1k | $59.1k | — | — | — | $59.1k – $59.1k |
| 22 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $59.7k | $59.7k | — | — | — | $59.7k – $59.7k |
Last updated: Feb 28, 2026
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