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 TIBIAL/PERONEAL ARTERY W INTRAVAS LITHOTRIPSY
Hackensack, NJ
See all hospitals reporting HCPCS C9772 →Price type
Hmh Hospitals Corporation’s median price of $15.6k is 22% above the median hospital's median price ($12.8k), higher than 70% of the 1,715 hospitals reporting HCPCS C9772. 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 | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 2 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 3 | Optum managed medicaid facility · fee schedule · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 6 | Optum medicare advantage facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 7 | WellCare managed medicaid facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 8 | WellCare medicare advantage facility · fee schedule · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 9 | Cigna hmo facility · case rate · outpatient | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 10 | Aetna asa facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 11 | Aetna hmo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 12 | Aetna ppo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 13 | Cigna ppo facility · case rate · outpatient | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 14 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $27.2k | $27.2k | — | — | — | $27.2k – $27.2k |
| 15 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $28.9k | $28.9k | — | — | — | $28.9k – $28.9k |
| 16 | UnitedHealthcare hmo facility · case rate · outpatient | $30.8k | $30.8k | — | — | — | $30.8k – $30.8k |
Last updated: Dec 31, 2025
See Lithotripsy-assisted angioplasty of leg artery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.