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-ather tib/per
Kankakee, IL
See all hospitals reporting HCPCS C9774 →Price type
St. Mary's Hospital - Kankakee’s median price of $19.5k is 2% above the median hospital's median price ($19.1k), higher than 54% of the 1,587 hospitals reporting HCPCS C9774. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 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 aetna commercial case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Aetna Better Health aetna better health medicaid fee schedule · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 3 | Blue Cross Blue Shield bcbs medicaid fee schedule · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 4 | Humana humana medicaid fee schedule · outpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 5 | Molina molina medicaid fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 6 | UnitedHealthcare uhc va fee schedule · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 7 | Blue Cross Blue Shield bcbs medicare dual eligible fee schedule · outpatient | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 8 | Aetna aetna medicare fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 9 | Blue Cross Blue Shield bcbs medicare hmo fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 10 | Blue Cross Blue Shield bcbs medicare ppo fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 11 | Cigna cigna healthspring medicare fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 12 | Devoted devoted health medicare fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 13 | Humana humana medicare fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 14 | Tricare tricare fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 15 | UnitedHealthcare uhc medicare fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 16 | WellCare celtic wellcare complete (wellcare) medicare fee schedule · outpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 17 | Molina molina medicare fee schedule · outpatient | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 18 | Aetna Better Health aetna better health dual eligible fee schedule · outpatient | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 19 | Humana humana medi-medi fee schedule · outpatient | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
| 20 | UnitedHealthcare uhc exchange fee schedule · outpatient | $24.4k | $24.4k | — | — | — | $24.4k – $24.4k |
| 21 | Blue Cross Blue Shield bcbs ill my blue plus pos fee schedule · outpatient | $26.4k | $26.4k | — | — | — | $26.4k – $26.4k |
| 22 | Blue Cross Blue Shield bcbs smart healt care fee schedule · outpatient | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
| 23 | Molina molina exchange fee schedule · outpatient | $29.3k | $29.3k | — | — | — | $29.3k – $29.3k |
| 24 | Ambetter celtic insurance company (ambetter) exchange fee schedule · outpatient | $31.7k | $31.7k | — | — | — | $31.7k – $31.7k |
| 25 | UnitedHealthcare uhc commercial fee schedule · outpatient | $43.2k | $43.2k | — | — | — | $43.2k – $43.2k |
Last updated: Sep 1, 2026
See Leg artery opening with lithotripsy and atherectomy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.