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 REVASC LITHOTRIP TIBI/PERONE
Hanover, PA
See all hospitals reporting HCPCS C9772 →Price type
UPMC Hanover’s median price of $17.3k is 35% above the median hospital's median price ($12.8k), higher than 76% of the 1,708 hospitals reporting HCPCS C9772. 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, 18 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 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 3 | Highmark medicare facility · fee schedule · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 4 | Humana medicare facility · fee schedule · outpatient | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 5 | Aetna medicare facility · fee schedule · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 6 | Cigna medicare facility · fee schedule · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 8 | Cigna commercial facility · case rate · outpatient | $17.3k | $17.3k | — | — | — | $17.3k – $17.3k |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $27.7k | $27.7k | — | — | — | $27.7k – $27.7k |
| 13 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
| 14 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $32.3k | $32.3k | — | — | — | $32.3k – $32.3k |
| 17 | Highmark medicaid facility · fee schedule · outpatient | $35.9k | $35.9k | — | — | — | $35.9k – $35.9k |
| 18 | Highmark commercial facility · fee schedule · outpatient | $38.5k | $38.5k | — | — | — | $38.5k – $38.5k |
Last updated: Mar 6, 2026
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