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
IR Revasc Endo LE w IV Lithotripsy Lt
Flowood, MS
See all hospitals reporting HCPCS C9764 →Price type
River Oaks Hospital LLC’s median price of $20.8k is 73% above the median hospital's median price ($12.1k), higher than 92% of the 1,791 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: 10 payers, 19 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 iex facility · case rate · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 2 | UnitedHealthcare uhc apa facility · case rate · outpatient | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 3 | Molina molina chip facility · fee schedule · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 4 | Molina molina medicaid ms facility · fee schedule · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 5 | Humana node humana mcr adv facility · fee schedule · outpatient | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 6 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 8 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 9 | Molina node molina mcr adv facility · fee schedule · outpatient | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 10 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 11 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 12 | Cigna cigna facility · case rate · outpatient | $14.6k | $14.6k | — | — | — | $14.6k – $14.6k |
| 13 | Molina molina exchange facility · fee schedule · outpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 14 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 15 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 16 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $22.1k | $22.1k | — | — | — | $22.1k – $22.1k |
| 17 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $44.0k | $44.0k | — | — | — | $44.0k – $44.0k |
| 18 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $44.0k | $44.0k | — | — | — | $44.0k – $44.0k |
| 19 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $51.4k | $51.4k | — | — | — | $51.4k – $51.4k |
Last updated: Apr 1, 2026
See Lower limb artery opening with lithotripsy and angioplasty pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.