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 LITHOTR-STENT TIB/PER
Valhalla, NY
See all hospitals reporting HCPCS C9773 →Price type
Westchester Medical Center’s median price of $22.8k is 19% above the median hospital's median price ($19.1k), higher than 70% of the 1,566 hospitals reporting HCPCS C9773. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 blue cross connection/exchange facility · case rate · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 2 | Blue Cross Blue Shield blue cross access facility · case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 3 | Blue Cross Blue Shield blue cross small group facility · case rate · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 4 | UnitedHealthcare uhc compass facility · case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 5 | UnitedHealthcare uhc exchange facility · case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 6 | Aetna aetna hp network facility · case rate · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 7 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · case rate · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 8 | Aetna aetna facility · case rate · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 9 | Aetna aetna employee facility · case rate · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 10 | UnitedHealthcare uhc commercial facility · case rate · outpatient | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 11 | UnitedHealthcare uhc empire facility · case rate · outpatient | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 12 | Cigna cigna ppo facility · fee schedule · outpatient | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 13 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 14 | Medicare medicare facility · fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 15 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 16 | Oscar oscar medicare facility · fee schedule · outpatient | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 17 | Molina affinity by molina mcr facility · fee schedule · outpatient | $23.9k | $23.9k | — | — | — | $23.9k – $23.9k |
| 18 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $42.1k | $42.1k | — | — | — | $42.1k – $42.1k |
| 19 | Tricare tricare facility · fee schedule · outpatient | $50k | $50k | — | — | — | $50k – $50k |
Last updated: Jul 28, 2026
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