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 LITH-STEN-ATH TIB/PER
Atlanta, TX
See all hospitals reporting HCPCS C9775 →Price type
St. Michael Hospital - Atlanta’s median price of $17.6k is 8% below the median hospital's median price ($19.1k), higher than 33% of the 1,551 hospitals reporting HCPCS C9775. 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, 19 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 | Molina chip km fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 5 | Molina healthspring star plus km fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 6 | Molina star km fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 7 | Molina star plus km fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 8 | Bcbs Tx hmo fee schedule · outpatient | $17.5k | $17.5k | — | — | — | $17.5k – $17.5k |
| 9 | Aetna mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 10 | Bcbs Tx mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 11 | Humana choicecare network mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 12 | Molina medicare adv mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 13 | UnitedHealthcare mm fee schedule · outpatient | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 14 | UnitedHealthcare hix case rate · outpatient | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 15 | Bcbs Tx traditional fee schedule · outpatient | $19.0k | $19.0k | — | — | — | $19.0k – $19.0k |
| 16 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $19.4k | $19.4k | — | — | — | $19.4k – $19.4k |
| 17 | Bcbs Tx ppo fee schedule · outpatient | $25.4k | $25.4k | — | — | — | $25.4k – $25.4k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $27.6k | $27.6k | — | — | — | $27.6k – $27.6k |
| 19 | Bcbs Tx heb fee schedule · outpatient | $42.6k | $42.6k | — | — | — | $42.6k – $42.6k |
Last updated: Jan 13, 2026
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