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 STENT PTA
Washington, DC
See all hospitals reporting HCPCS C9765 →Price type
MedStar Georgetown Hospital’s median price of $22.7k is 20% above the median hospital's median price ($18.9k), higher than 74% 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: 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 | Aetna aetna all hmo and ppo plans facility · case rate · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 2 | Cigna all cigna hmo facility · case rate · outpatient | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 3 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · outpatientfrom % of charges | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 4 | Anthem anthem-hmo medicaid facility · fee schedule · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 5 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · inpatientfrom % of charges | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 6 | Amerihealth Caritas amerihealth facility · fee schedule · outpatient | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 7 | Carefirst carefirst medicare advantage facility · fee schedule · outpatient | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 8 | Tricare tricare facility · fee schedule · outpatient | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 9 | UnitedHealthcare optum va community care facility · fee schedule · outpatient | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 10 | UnitedHealthcare united secure facility · fee schedule · outpatient | $21.9k | $21.9k | — | — | — | $21.9k – $21.9k |
| 11 | Aetna aetna medicare facility · fee schedule · outpatient | $22.3k | $22.3k | — | — | — | $22.3k – $22.3k |
| 12 | Humana humana medicare advantage facility · fee schedule · outpatient | $22.7k | $22.7k | — | — | — | $22.7k – $22.7k |
| 13 | Cigna all cigna ppo facility · case rate · outpatient | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 14 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · inpatientfrom % of charges | $29.3k | $29.3k | — | — | — | $29.3k – $29.3k |
| 15 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · outpatientfrom % of charges | $29.3k | $29.3k | — | — | — | $29.3k – $29.3k |
| 16 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $31.1k | $31.1k | — | — | — | $31.1k – $31.1k |
| 17 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $31.1k | $31.1k | — | — | — | $31.1k – $31.1k |
| 18 | Carefirst all carefirst hmo plans facility · case rate · outpatient | $39.5k | $39.5k | — | — | — | $39.5k – $39.5k |
| 19 | Carefirst all carefirst ppo plans facility · case rate · outpatient | $46.4k | $46.4k | — | — | — | $46.4k – $46.4k |
| 20 | UnitedHealthcare uhc navigate/core facility · fee schedule · outpatient | $75.6k | $75.6k | — | — | — | $75.6k – $75.6k |
| 21 | UnitedHealthcare united healthcare all hmo & mamsi products facility · fee schedule · outpatient | $79.9k | $79.9k | — | — | — | $79.9k – $79.9k |
| 22 | UnitedHealthcare united healthcare all ppo products facility · fee schedule · outpatient | $91.0k | $91.0k | — | — | — | $91.0k – $91.0k |
Last updated: Apr 1, 2026
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