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
IR REVASC IVL W PTA
Washington, DC
See all hospitals reporting HCPCS C9764 →Price type
MedStar Georgetown Hospital’s median price of $14.3k is 19% above the median hospital's median price ($12.1k), higher than 70% 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: 10 payers, 22 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 | Anthem anthem-hmo medicaid facility · fee schedule · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 2 | Aetna aetna all hmo and ppo plans facility · case rate · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 3 | Cigna all cigna hmo facility · case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 4 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · outpatientfrom % of charges | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 5 | Amerihealth Caritas amerihealth facility · fee schedule · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 6 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · inpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 7 | Carefirst carefirst medicare advantage facility · fee schedule · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 8 | Tricare tricare facility · fee schedule · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 9 | UnitedHealthcare optum va community care facility · fee schedule · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 10 | UnitedHealthcare united secure facility · fee schedule · outpatient | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 11 | Aetna aetna medicare facility · fee schedule · outpatient | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 12 | Humana humana medicare advantage facility · fee schedule · outpatient | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 13 | Carefirst all carefirst hmo plans facility · percent of total billed charges · outpatientfrom % of charges | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 14 | Carefirst all carefirst ppo plans facility · percent of total billed charges · outpatientfrom % of charges | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 15 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · inpatientfrom % of charges | $22.1k | $22.1k | — | — | — | $22.1k – $22.1k |
| 16 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · outpatientfrom % of charges | $22.1k | $22.1k | — | — | — | $22.1k – $22.1k |
| 17 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 18 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 19 | Cigna all cigna ppo facility · case rate · outpatient | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 20 | UnitedHealthcare uhc navigate/core facility · fee schedule · outpatient | $47.6k | $47.6k | — | — | — | $47.6k – $47.6k |
| 21 | UnitedHealthcare united healthcare all hmo & mamsi products facility · fee schedule · outpatient | $50.3k | $50.3k | — | — | — | $50.3k – $50.3k |
| 22 | UnitedHealthcare united healthcare all ppo products facility · fee schedule · outpatient | $57.3k | $57.3k | — | — | — | $57.3k – $57.3k |
Last updated: Apr 1, 2026
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