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 INTRA LITHOTRIP-STENT
Atlanta, TX
See all hospitals reporting HCPCS C9765 →Price type
St. Michael Hospital - Atlanta’s median price of $17.6k is 7% below the median hospital's median price ($18.9k), higher than 34% 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: 6 payers, 15 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 | Humana choicecare other · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 2 | Aetna ppo case rate · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 3 | Cigna ppo case rate · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 4 | Bcbs Tx hmo fee schedule · outpatient | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 6 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 8 | Aetna mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 9 | Bcbs Tx mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 10 | Humana choicecare network mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 11 | Molina medicare adv mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 12 | UnitedHealthcare mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 13 | UnitedHealthcare hix case rate · outpatient | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 14 | Bcbs Tx heb fee schedule · outpatient | $26.3k | $26.3k | — | — | — | $26.3k – $26.3k |
| 15 | UnitedHealthcare all payer case rate · outpatient | $27.6k | $27.6k | — | — | — | $27.6k – $27.6k |
Last updated: Jan 13, 2026
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