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 lithotr-stent tib/per
Maple Grove, MN
See all hospitals reporting HCPCS C9773 →Price type
Fairview Maple Grove Surgery Center’s median price of $11.8k is 38% below the median hospital's median price ($19.1k), higher than 11% of the 1,566 hospitals reporting HCPCS C9773. 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, 23 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 accessability fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Medica medicaid fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Medica ma snp fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | Medica bold fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 5 | Medica city of st paul / essential uplan fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 6 | Medica vantage fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 7 | Medica choice without / elect fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Medica prime solution fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 9 | Medica choice with fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | UnitedHealthcare commercial fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 11 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 12 | Blue Cross Blue Shield federal fee schedule · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 13 | Blue Cross Blue Shield commercial fee schedule · both | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 14 | Medica ma non-snp fee schedule · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 15 | UnitedHealthcare medicare advantage fee schedule · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 16 | Medicaid medicaid fee schedule · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 17 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 18 | Blue Cross Blue Shield federal fee schedule · outpatient | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 19 | Blue Cross Blue Shield commercial fee schedule · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 20 | Ucare mhcp fee schedule · outpatient | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 21 | Cigna commercial fee schedule · outpatient | $19.9k | $19.9k | $1.7k | 9% | — | $18.2k – $21.7k |
| 22 | Ucare ifp with fairview fee schedule · outpatient | $20.3k | $20.3k | — | — | — | $20.3k – $20.3k |
| 23 | Ucare ifp fee schedule · outpatient | $27.1k | $27.1k | — | — | — | $27.1k – $27.1k |
Last updated: May 18, 2026
See Lithotripsy-assisted stent placement in leg artery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.