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 Prq Revasc Byp Graft 1st Vsl- D.E. Stent
Utica, NY
See all hospitals reporting HCPCS C9604 →Price type
MVHS, Inc.’s median price of $14.4k is about the same as the median hospital's median price ($14.4k), higher than 52% of the 1,821 hospitals reporting HCPCS C9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 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 | UnitedHealthcare uhc commercial case rate · inpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 2 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 3 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 4 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 5 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 6 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 7 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 8 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 9 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 10 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 11 | UnitedHealthcare uhc commercial fee schedule · outpatient | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 12 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 13 | Humana humana military other · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 14 | Tricare humana military other · outpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 15 | Excellus excellus bcbs medicare advantage other · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 16 | Humana humana medicare advantage other · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 17 | Medicare medicare other · outpatient | $14.4k | $14.4k | — | — | 1–10 | $14.4k – $14.4k |
| 18 | Optum vaccn optum other · outpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 19 | UnitedHealthcare uhc medicare advantage other · outpatient | $14.6k | $14.6k | — | — | 1–10 | $14.6k – $14.6k |
| 20 | Aetna aetna medicare advantage other · outpatient | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 21 | WellCare wellcare medicare advantage other · outpatient | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 22 | Cigna mvp and cigna commercial other · outpatient | $41.4k | $41.4k | — | — | — | $41.4k – $41.4k |
Last updated: Aug 7, 2026
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