HCPCS C9764

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Current codeTransluminal Angioplasty - Arterial34 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS C9764 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$13,167$32,917
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$14,678$36,696
EvergreenHealth Medical CenterKirkland—$25,245$31,556
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$13,028$18,612
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$13,167$32,917
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$13,167$32,917
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$13,167$32,917
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$13,167$32,917
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$14,678$36,696
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$33,468$47,812
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$2,495$4,798
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$8,472$16,292
Skagit Valley HospitalMount Vernon—$18,132$22,665
Swedish IssaquahIssaquahFile dated 2026-04-01—$17,855$37,198
Swedish Medical CenterSeattleFile dated 2026-04-01—$17,855$37,198
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$17,855$37,198
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$13,167$32,917
Trios HealthKennewick——$85,903
University of Washington Medical CtrSeattleFile dated 2026-04-01—$15,243$21,775
Virginia Mason Medical CenterSeattle—$2,768$5,427
Yakima Valley MemorialYakimaFile dated 2026-08-27—$12,759$31,898

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$11,794 (APC 5193)
Surgery center payment (national)
$8,249