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 LITHOTRIP-STENT-ATHER
Erie, PA
See all hospitals reporting HCPCS C9767 →Price type
UPMC Hamot’s median price of $21.3k is 10% above the median hospital's median price ($19.4k), higher than 60% of the 1,648 hospitals reporting HCPCS C9767. 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, 28 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 | UnitedHealthcare commercial facility · case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 2 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 3 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 4 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 5 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 6 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 7 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 8 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 9 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 10 | Aetna medicare facility · fee schedule · outpatient | $20.2k | $20.2k | — | — | — | $20.2k – $20.2k |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $20.4k | $20.4k | — | — | — | $20.4k – $20.4k |
| 12 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 14 | UnitedHealthcare medicare facility · fee schedule · outpatient | $21.1k | $21.1k | — | — | — | $21.1k – $21.1k |
| 15 | Highmark medicare facility · fee schedule · outpatient | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 16 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 17 | Cigna medicare facility · fee schedule · outpatient | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 18 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 20 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 21 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 22 | Highmark upmc emergent facility · fee schedule · outpatient | $27.0k | $27.0k | — | — | — | $27.0k – $27.0k |
| 23 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $41.7k | $41.7k | — | — | — | $41.7k – $41.7k |
| 24 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $41.7k | $41.7k | — | — | — | $41.7k – $41.7k |
| 25 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $41.7k | $41.7k | — | — | — | $41.7k – $41.7k |
Last updated: Mar 6, 2026
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