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 intra lithotrip-stent
Kettering, OH
See all hospitals reporting HCPCS C9765 →Price type
Kettering Medical Center ’s median price of $27.0k is 43% above the median hospital's median price ($18.9k), higher than 87% of the 1,757 hospitals reporting HCPCS C9765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 2 | Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 3 | Aetna medicare managed care plan fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 4 | Molina medicare managed care plan fee schedule · outpatient | $19.0k | $19.0k | — | — | — | $19.0k – $19.0k |
| 5 | UnitedHealthcare all commercial plans fee schedule · outpatient | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
| 6 | UnitedHealthcare employee fee schedule · outpatient | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
| 7 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $27.0k | $27.0k | — | — | — | $27.0k – $27.0k |
| 8 | Caresource marketplace exchange fee schedule · outpatient | $27.9k | $27.9k | — | — | — | $27.9k – $27.9k |
| 9 | UnitedHealthcare exchange fee schedule · outpatient | $28.0k | $28.0k | — | — | — | $28.0k – $28.0k |
| 10 | Molina exchange fee schedule · outpatient | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 11 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $62.2k | $62.2k | — | — | — | $62.2k – $62.2k |
Last updated: Apr 1, 2026
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