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
REV EVR LE AA; IV LITH\T\TL
MERIDEN, CT
See all hospitals reporting HCPCS C9765 →Price type
Midstate Medical Center’s median price of $7.5k is 60% below the median hospital's median price ($18.9k), higher than 4% 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, 7 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 individual case rate · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 2 | Anthem anthem medicare other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 3 | Molina molina dba connecticare medicare other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 4 | UnitedHealthcare united medicare other · outpatient | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 5 | WellCare wellcare medicare other · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 6 | Aetna aetna medicare other · outpatient | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 7 | Anthem anthem managed care case rate · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
Last updated: Apr 1, 2026
See Lower leg artery repair with lithotripsy and stent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.