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 Revascularization Endovascular Open or Percutaneous Lower Extremity Artery(Ies) Except Tibial/Peroneal With Intravascular Lithotripsy and Stent Placement Rt
Troy, NY
See all hospitals reporting HCPCS C9765 →Price type
Samaritan Hospital’s median price of $20.7k is 9% above the median hospital's median price ($18.9k), higher than 66% 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: 16 payers, 39 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 aetna facility · other · both | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 2 | Medical Mutual aetna facility · other · both | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 3 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 4 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 5 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 6 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 7 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 8 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 9 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 10 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 11 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 12 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 13 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 14 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 15 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $14.7k | $14.7k | — | — | — | $14.7k – $14.7k |
| 16 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 17 | Anthem empire bcbs medicare advantage facility · other · both | $22.4k | $22.4k | — | — | — | $22.4k – $22.4k |
| 18 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $22.7k | $22.7k | — | — | — | $22.7k – $22.7k |
| 19 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $23.3k | $23.3k | — | — | — | $23.3k – $23.3k |
| 20 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 23 | Aetna aetna medicare advantage facility · other · both | $24.2k | $24.2k | — | — | — | $24.2k – $24.2k |
| 24 | WellCare wellcare medicare advantage facility · other · both | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
| 25 | Excellus blue shield of ne new york medicare adv facility · other · both | $25.2k | $25.2k | — | — | — | $25.2k – $25.2k |
Last updated: Mar 31, 2026
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