Revasc lithotrip tibi/perone cost in Texas
Revasc lithotrip tibi/perone · HCPCS C9772
$2,861.25
lowest in Texas
$14,653.34
state median
$111,218.09
highest in Texas
$14,318.70
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $2,861.25 | $2,082.99 – $16,350.00 | 20 |
| St. Joseph Health College Station Hospital | College Station | $2,861.25 | $8,992.50 – $16,350.00 | 5 |
| St. Joseph Health Grimes Hospital | Navasota | $2,861.25 | $5,928.51 – $18,148.50 | 16 |
| St. Joseph Health Burleson Hospital | Caldwell | $2,861.25 | $3,597.00 – $16,350.00 | 18 |
| St. Luke's Health Memorial Livingston | Livingston | $6,154.95 | $9,027.26 – $36,929.70 | 6 |
| St. Luke's Health Memorial San Augustine | San Augustine | $6,154.95 | $7,385.94 – $42,674.32 | 7 |
| St. Luke's Health Memorial Lufkin | Lufkin | $6,154.95 | $15,592.54 – $36,929.70 | 6 |
| Baylor St Luke's Medical Center | Houston | $7,304.85 | $5,635.17 – $20,871.00 | 18 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $7,304.85 | $5,635.17 – $20,871.00 | 16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $7,304.85 | $5,635.17 – $20,871.00 | 16 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $7,304.85 | $5,635.17 – $20,871.00 | 16 |
| St. Luke's Health - The Vintage Hospital | Houston | $7,304.85 | $5,635.17 – $20,871.00 | 16 |
| Ascension Providence | Waco | $12,314.16 | $4,750.24 – $4,750.24 | 11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,321.23 | $4,750.24 – $27,252.71 | 18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $13,321.23 | $4,750.24 – $27,252.71 | 24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,321.23 | $4,750.24 – $27,252.71 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $13,321.23 | $4,218.39 – $27,252.71 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,653.34 | $4,750.24 – $27,252.71 | 26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $14,653.34 | $4,750.24 – $27,252.71 | 26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $14,653.34 | $4,750.24 – $27,252.71 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $14,653.34 | $4,750.24 – $27,252.71 | 25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $14,653.34 | $4,750.24 – $27,252.71 | 27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $14,653.34 | $4,750.24 – $27,252.71 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $14,653.34 | $4,750.24 – $24,933.10 | 21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $14,653.34 | $4,750.24 – $27,252.71 | 26 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $14,653.34 | $4,750.24 – $27,252.71 | 24 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $14,653.34 | $4,750.24 – $27,252.71 | 24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | $14,653.34 | $4,750.24 – $27,252.71 | 24 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie | $14,653.34 | $4,750.24 – $27,252.71 | 24 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,653.34 | $4,750.24 – $27,252.71 | 28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,653.35 | $5,082.76 – $27,252.71 | 26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,653.35 | $4,750.24 – $27,252.71 | 15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $14,653.35 | $1,636.00 – $27,252.71 | 26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $14,653.35 | $4,750.24 – $27,252.71 | 29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,653.35 | $3,016.15 – $27,252.71 | 27 |
| Covenant Specialty Hospital | Lubbock | $14,658.00 | not published | 0 |
| Covenant Medical Center | Lubbock | $14,658.00 | $4,039.00 – $15,365.70 | 4 |
| HCA HOUSTON KINGWOOD | HUMBLE | $25,151.75 | $4,655.24 – $17,876.43 | 8 |
| Texas Health Hospital Mansfield | Mansfield | $28,094.28 | $10,605.34 – $23,193.59 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $28,094.28 | $10,605.34 – $23,231.80 | 3 |
| Adventhealth Central Texas | Killeen | $28,637.15 | $8,715.36 – $18,554.87 | 5 |
| HCA HOUSTON SOUTHEAST | PASADENA | $40,068.29 | $4,655.24 – $17,474.72 | 8 |
| HCA HOUSTON TOMBALL | HOUSTON | $43,440.01 | $4,750.24 – $17,474.72 | 7 |
| HCA HOUSTON PEARLAND | Pearland | $60,680.02 | $5,097.19 – $20,588.03 | 6 |
| HCA HOUSTON MEDICAL CENTER | Houston | $69,995.53 | $5,097.19 – $20,588.03 | 6 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $111,218.09 | $4,655.24 – $16,068.70 | 9 |
| Adventhealth Rollins Brook | Lampasas | not published | $8,715.36 – $12,553.68 | 2 |
| Covenant Children's Hospital | Lubbock | not published | $6,355.00 – $21,391.46 | 2 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $5,097.19 – $17,876.43 | 6 |
| Covenant Hospital Levelland | Levelland | not published | $6,794.00 – $12,234.62 | 4 |
| HCA HOUSTON CONROE | CONROE | not published | $4,655.24 – $17,474.72 | 9 |
| Covenant Hospital Plainview | Plainview | not published | $6,794.00 – $12,234.62 | 4 |
| HCA HOUSTON WEST | HOUSTON | not published | $4,655.24 – $17,474.72 | 8 |