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 lith-sten-ath tib/per
Buffalo, NY
See all hospitals reporting HCPCS C9775 →Price type
Kaleida Health’s median price of $24.8k is 30% above the median hospital's median price ($19.1k), higher than 76% 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: 6 payers, 11 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 | Aetna all commercial plans fee schedule · outpatient | $3.9k | $3.9k | $587 | 15% | — | $3.4k – $4.5k |
| 2 | Tricare government fee schedule · outpatient | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 3 | WellCare medicare managed care plan fee schedule · outpatient | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 4 | Aetna medicare managed care plan fee schedule · outpatient | $24.3k | $24.3k | — | — | — | $24.3k – $24.3k |
| 5 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $24.8k | $24.8k | — | — | — | $24.8k – $24.8k |
| 6 | Blue Cross Blue Shield advantage - healthnow medicare managed care plan fee schedule · outpatient | $24.5k | $26.6k | $9.6k | 36% | — | $15.6k – $42.0k |
| 7 | Cigna mvp medicare managed care plan fee schedule · outpatient | $26.8k | $26.8k | — | — | — | $26.8k – $26.8k |
| 8 | Blue Cross Blue Shield healthnow standard exchange fee schedule · outpatient | $20.2k | $32.1k | $18.7k | 58% | — | $17.7k – $60.9k |
| 9 | Cigna mvp all commercial plans fee schedule · outpatient | $32.5k | $32.5k | — | — | — | $32.5k – $32.5k |
| 10 | Blue Cross Blue Shield align - healthnow other commercial plan fee schedule · outpatient | $22.4k | $35.6k | $20.8k | 58% | — | $19.7k – $67.7k |
| 11 | Blue Cross Blue Shield healthnow ppo/traditional fee schedule · outpatient | $28.3k | $45.0k | $26.2k | 58% | — | $24.8k – $85.4k |
Last updated: Apr 1, 2026
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