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
HC REVAS LITH STE/ATH; X TIB/PER
Hanover, PA
See all hospitals reporting HCPCS C9767 →Price type
UPMC Hanover’s median price of $37.5k is 93% above the median hospital's median price ($19.4k), higher than 92% of the 1,642 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, 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 3 | Highmark medicare facility · fee schedule · outpatient | $17.0k | $17.0k | — | — | — | $17.0k – $17.0k |
| 4 | Humana medicare facility · fee schedule · outpatient | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 5 | Aetna medicare facility · fee schedule · outpatient | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 6 | Cigna medicare facility · fee schedule · outpatient | $18.0k | $18.0k | — | — | — | $18.0k – $18.0k |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $31.9k | $31.9k | — | — | — | $31.9k – $31.9k |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $34.9k | $34.9k | — | — | — | $34.9k – $34.9k |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $41.7k | $41.7k | — | — | — | $41.7k – $41.7k |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $41.7k | $41.7k | — | — | — | $41.7k – $41.7k |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $44.7k | $44.7k | — | — | — | $44.7k – $44.7k |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $47.9k | $47.9k | — | — | — | $47.9k – $47.9k |
| 14 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $52.2k | $52.2k | — | — | — | $52.2k – $52.2k |
| 15 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $52.2k | $52.2k | — | — | — | $52.2k – $52.2k |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $52.2k | $52.2k | — | — | — | $52.2k – $52.2k |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $52.2k | $52.2k | — | — | — | $52.2k – $52.2k |
| 18 | Highmark medicaid facility · fee schedule · outpatient | $56.9k | $56.9k | — | — | — | $56.9k – $56.9k |
| 19 | Highmark commercial facility · fee schedule · outpatient | $61.0k | $61.0k | — | — | — | $61.0k – $61.0k |
Last updated: Mar 6, 2026
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