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
RVSC LOW EXT IVL/STNT RT
Georgetown, TX
See all hospitals reporting HCPCS C9765 →Price type
St. David's Georgetown Hospital’s median price of $9.5k is 50% below the median hospital's median price ($18.9k), higher than 7% of the 1,750 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: 8 payers, 34 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.2k | $228 | 19% | — | $1.1k – $1.6k |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.2k | $228 | 19% | — | $1.1k – $1.6k |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.2k | $228 | 19% | — | $1.1k – $1.6k |
| 4 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.2k | $228 | 19% | — | $1.1k – $1.6k |
| 5 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $3.6k | $4.0k | $775 | 19% | — | $3.6k – $5.4k |
| 6 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $3.6k | $4.0k | $775 | 19% | — | $3.6k – $5.4k |
| 7 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $3.6k | $4.0k | $775 | 19% | — | $3.6k – $5.4k |
| 8 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.9k | $1.1k | 19% | — | $5.2k – $7.9k |
| 9 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $5.8k | $6.6k | $1.3k | 19% | — | $5.8k – $8.8k |
| 10 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $5.8k | $6.6k | $1.3k | 19% | — | $5.8k – $8.8k |
| 11 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $6.7k | $7.6k | $1.5k | 19% | — | $6.7k – $10.1k |
| 12 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $6.8k | $7.6k | $1.5k | 19% | — | $6.8k – $10.1k |
| 13 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $7.2k | $8.1k | $1.6k | 19% | — | $7.2k – $10.8k |
| 14 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $7.2k | $8.1k | $1.6k | 19% | — | $7.2k – $10.8k |
| 15 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $7.2k | $8.1k | $1.6k | 19% | — | $7.2k – $10.8k |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $8.6k | $9.7k | $1.9k | 19% | — | $8.6k – $13.0k |
| 17 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $9.5k | $10.7k | $2.1k | 19% | — | $9.5k – $14.2k |
| 18 | Aetna narrownetwork percent of total billed charges · outpatientfrom % of charges | $9.5k | $10.7k | $2.1k | 19% | — | $9.5k – $14.2k |
| 19 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $9.6k | $10.8k | $2.1k | 19% | — | $9.6k – $14.4k |
| 20 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $9.6k | $10.8k | $2.1k | 19% | — | $9.6k – $14.4k |
| 21 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $11.2k | $12.6k | $2.4k | 19% | — | $11.2k – $16.8k |
| 22 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $11.3k | $12.7k | $2.4k | 19% | — | $11.3k – $16.9k |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $14.5k | $15.4k | $3.2k | 21% | — | $12.0k – $22.1k |
| 24 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 25 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $15.8k | $17.8k | $3.4k | 19% | — | $15.8k – $23.7k |
Last updated: Sep 1, 2026
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