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
REVASCULARIZATION ENDOVAS W INTRAVAS LITHOTRIPSY INC ANGIO SAME
Hackensack, NJ
See all hospitals reporting HCPCS C9764 →Price type
Hmh Hospitals Corporation’s median price of $13.0k is 8% above the median hospital's median price ($12.1k), higher than 61% of the 1,791 hospitals reporting HCPCS C9764. 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, 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 2 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | Optum managed medicaid facility · fee schedule · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 4 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 5 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 6 | Aetna medicare advantage facility · fee schedule · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 7 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 8 | Optum medicare advantage facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 9 | WellCare managed medicaid facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 10 | WellCare medicare advantage facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 11 | Cigna hmo facility · case rate · outpatient | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 12 | Aetna asa facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 13 | Aetna hmo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 14 | Aetna ppo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 15 | Cigna ppo facility · case rate · outpatient | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 16 | UnitedHealthcare hmo facility · case rate · outpatient | $29.3k | $29.3k | — | — | — | $29.3k – $29.3k |
Last updated: Dec 31, 2025
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