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 lithotrip-stent-ather
Edina, MN
See all hospitals reporting HCPCS C9767 →Price type
Fairview Health Services’s median price of $17.9k is 8% below the median hospital's median price ($19.4k), higher than 32% of the 1,648 hospitals reporting HCPCS C9767. 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, 18 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 | Medica managed medicaid/accessability case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Medica msho/medicare advantage snp case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 3 | Medica bold case rate · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 4 | Medica city of st. paul/essential-uplan case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 5 | Medica vantage self insured case rate · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 6 | Medica individual and family business except aco case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 7 | Medica choice case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 8 | UnitedHealthcare core case rate · outpatient | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 9 | UnitedHealthcare commercial case rate · outpatient | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 10 | Sanford Health Plan medicare advantage fee schedule · outpatient | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 11 | UnitedHealthcare medicare advantage fee schedule · outpatient | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 12 | WellCare medicare advantage fee schedule · outpatient | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 13 | Ucare medicare advantage/msho fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 14 | Ucare pmap fee schedule · outpatient | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 15 | Bcbs Mn medicare advantage fee schedule · outpatient | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 16 | Medica medicare advantage non-snp fee schedule · outpatient | $18.9k | $18.9k | — | — | — | $18.9k – $18.9k |
| 17 | Ucare individual and family with m health fairview fee schedule · outpatient | $31.8k | $31.8k | — | — | — | $31.8k – $31.8k |
| 18 | Ucare individual and family fee schedule · outpatient | $41.1k | $41.1k | — | — | — | $41.1k – $41.1k |
Last updated: Feb 6, 2026
See Lower limb artery opening with lithotripsy, stent, and atherectomy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.