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
HC Revasc Intravasc Lithotripsy
MEMPHIS, TN
See all hospitals reporting HCPCS C9764 →Price type
Methodist South Hospital’s median price of $10.4k is 14% below the median hospital's median price ($12.1k), higher than 22% of the 1,786 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: 9 payers, 29 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 | UnitedHealthcare hb uhc mschips ob & mlh-tn adult hospitals contract per diem · both | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Blue Cross Blue Shield hb bluecare adult contract fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Blue Cross Blue Shield hb medicaid tn - bcbs tenncare select - muh-mnh-msh-mgh-mhm fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | UnitedHealthcare hb uhc heritage select contract fee schedule · both | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 7 | UnitedHealthcare hb uhc fed ex core fee schedule · both | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 8 | Cigna hb cigna epo adult locations percent of total billed charges · bothfrom % of charges | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 9 | UnitedHealthcare hb uhc fed ex nexus aco fee schedule · both | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 10 | UnitedHealthcare hb uhc fed ex all payer (choice) fee schedule · both | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 11 | UnitedHealthcare hb uhc core fee schedule · both | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 12 | UnitedHealthcare hb uhc nexus aco adult fee schedule · both | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 13 | UnitedHealthcare hb uhc all payer appendix - muh-mnh-msh-mgh-mci fee schedule · both | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 14 | Tricare hb tricare - tn contract other · both | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 15 | Blue Cross Blue Shield hb medicare advantage / managed care - tn contract other · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 16 | Humana hb medicare advantage / managed care - tn contract other · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 17 | Medicare hb medicare-tn contract other · both | $10.4k | $10.4k | — | — | 1–10 | $10.4k – $10.4k |
| 18 | Optum hb medicare advantage / managed care - tn contract other · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 19 | UnitedHealthcare hb medicare advantage / managed care - tn contract other · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 20 | UnitedHealthcare hb va - tn contract other · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 21 | WellCare hb medicare advantage / managed care - tn contract other · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 22 | WellCare hb medicare advantage wellcare/wellpoint - tn contract other · both | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 23 | Devoted hb medicare advantage devoted - tn contract other · both | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 24 | Cigna hb cigna hmo - germantown-north-south-olive branch-cancer inst-university case rate · both | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 25 | UnitedHealthcare hb xr tn uhc exchange case rate · both | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
Last updated: Mar 19, 2026
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