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
REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY(IES), WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL (S), WHEN PERFORMED
Custer, SD
See all hospitals reporting HCPCS C9772 →Price type
Monument Health Network Inc’s median price of $30.0k is 134% above the median hospital's median price ($12.8k), higher than 97% of the 1,709 hospitals reporting HCPCS C9772. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 10 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 uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 2 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 3 | Wellmark bcbs wellmark mcr adv percent of total billed charges · outpatientfrom % of charges | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 4 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 5 | Wellmark bcbs wellmark - all other plans percent of total billed charges · outpatientfrom % of charges | $28.5k | $28.5k | — | — | — | $28.5k – $28.5k |
| 6 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $30.1k | $30.1k | — | — | — | $30.1k – $30.1k |
| 7 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $30.1k | $30.1k | — | — | — | $30.1k – $30.1k |
| 8 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $30.8k | $30.8k | — | — | — | $30.8k – $30.8k |
| 9 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $30.8k | $30.8k | — | — | — | $30.8k – $30.8k |
| 10 | Humana humana commercial - all plans percent of total billed charges · outpatientfrom % of charges | $31.7k | $31.7k | — | — | — | $31.7k – $31.7k |
Last updated: Sep 1, 2026
See Lithotripsy-assisted angioplasty of leg artery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.