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 Revasc Tib/Peroneal Ivl/Pta
San Angelo, TX
See all hospitals reporting HCPCS C9772 →Price type
Shannon River Crest Hospital’s median price of $22.1k is 72% above the median hospital's median price ($12.8k), higher than 90% 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: 8 payers, 18 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 | Molina managed medicaid facility · fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 2 | Humana medicare advantage facility · case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 3 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
| 4 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $21.2k | $21.2k | — | — | — | $21.2k – $21.2k |
| 5 | Ambetter ppo facility · case rate · outpatient | $22.9k | $22.9k | — | — | — | $22.9k – $22.9k |
| 6 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $25.7k | $25.7k | — | — | — | $25.7k – $25.7k |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $25.7k | $25.7k | — | — | — | $25.7k – $25.7k |
| 16 | Bcbs Tx hmo facility · fee schedule · outpatient | $27.2k | $27.2k | — | — | — | $27.2k – $27.2k |
| 17 | Bcbs Tx bav facility · fee schedule · outpatient | $28.6k | $28.6k | — | — | — | $28.6k – $28.6k |
| 18 | Bcbs Tx ppo facility · fee schedule · outpatient | $28.6k | $28.6k | — | — | — | $28.6k – $28.6k |
Last updated: Dec 8, 2025
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