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
Revasc Art(S) Lwr Extrm Not Tib/Pernl W Ivl Stent Tlath Tlang
Summit, NJ
See all hospitals reporting HCPCS C9767 →Price type
Overlook Medical Center’s median price of $20.8k is 7% above the median hospital's median price ($19.4k), higher than 59% of the 1,648 hospitals reporting HCPCS C9767. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 45 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 omc aetna ahs employee other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 2 | Aetna omc aetna ahs employee other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 3 | Aetna omc aetna medicare case rate · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 4 | Aetna omc aetna medicare case rate · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 5 | Aetna omc aetna nnj prime other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 6 | Aetna omc aetna nnj prime other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 7 | Ambetter omc ambetter wellcare of nj other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 8 | Ambetter omc ambetter wellcare of nj other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 9 | Anthem omc horizon braven other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 10 | Anthem omc horizon braven other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 11 | Blue Cross Blue Shield omc horizon braven other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 12 | Blue Cross Blue Shield omc horizon braven other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 13 | Cigna omc cigna medicare case rate · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 14 | Cigna omc cigna medicare case rate · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 15 | Highmark omc highmark wholecare / gateway health plan inc other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 16 | Highmark omc highmark wholecare / gateway health plan inc other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 17 | Highmark omc horizon braven other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 18 | Highmark omc horizon braven other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 19 | Tricare omc tricare contract other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 20 | Tricare omc tricare contract other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 21 | Tricare omc tricare-east (humana military) other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 22 | Tricare omc tricare-east (humana military) other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 23 | WellCare omc wellcare phw other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 24 | WellCare omc wellcare phw other · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 25 | WellCare omc wellcare/fedelis medicare other · both | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
Last updated: Apr 1, 2026
See Lower limb artery opening with lithotripsy, stent, and atherectomy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.