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 LITHOTR-STENT TIB/PER
Jasper, TX
See all hospitals reporting HCPCS C9773 →Price type
Southeast Texas - Jasper Memorial’s median price of $18.1k is 5% below the median hospital's median price ($19.1k), higher than 40% of the 1,560 hospitals reporting HCPCS C9773. 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, 25 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 new business case rate · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 2 | Aetna epo case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | Aetna hmo case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 4 | Aetna pos case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 5 | Aetna ppo case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 6 | Humana choicecare other · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 7 | Cigna new business case rate · outpatient | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 8 | Cigna ppo case rate · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 9 | Molina chip km fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 10 | Molina star km fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 11 | Molina star plus km fee schedule · outpatient | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 12 | UnitedHealthcare hix case rate · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 13 | Aetna mm fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 14 | Bcbs Tx mm fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 15 | Humana gold choice mm fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 16 | Molina medicare adv mm fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 18 | WellCare mm fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 19 | Devoted mm fee schedule · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 20 | Bcbs Tx heb fee schedule · outpatient | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 21 | UnitedHealthcare all payer case rate · outpatient | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
| 22 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $37.9k | $37.9k | — | — | — | $37.9k – $37.9k |
| 23 | Bcbs Tx hmo fee schedule · outpatient | $40.0k | $40.0k | — | — | — | $40.0k – $40.0k |
| 24 | Bcbs Tx ppo fee schedule · outpatient | $48.7k | $48.7k | — | — | — | $48.7k – $48.7k |
| 25 | Bcbs Tx traditional fee schedule · outpatient | $55.9k | $55.9k | — | — | — | $55.9k – $55.9k |
Last updated: Jan 13, 2026
See Lithotripsy-assisted stent placement in leg artery pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.