HCPCS C9790
Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
Retired code22 hospitals with prices
This code is retired. Some hospitals still list it. CMS replaced it with CPT 0888T.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $23,418 | — | — |
| Deaconess Medical Center | $22,725 – $55,752 | — | — |
| Kadlec Regional Medical Center | $35,602 – $36,609 | — | — |
| Legacy Salmon Creek Medical Center | $13,746 – $51,645 | — | — |
| Mary Bridge Children's Hospital | $23,418 – $98,316 | — | — |
| MultiCare Auburn Medical Center | $23,418 – $57,877 | — | — |
| MultiCare Covington Medical Center | $23,418 – $57,877 | — | — |
| MultiCare Good Samaritan Hospital | $23,418 – $57,877 | — | — |
| MultiCare Valley Hospital | $22,096 – $55,627 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $20,964 – $34,054 | — | — |
| Providence Centralia Hospital | $30,494 – $80,083 | — | — |
| Providence Holy Family Hospital | $15,653 – $37,252 | — | — |
| Providence Regional Medical Center Everett | $10,189 – $33,176 | — | — |
| Providence St Mary Medical Center | $17,967 – $59,053 | — | — |
| Providence St Peter Hospital | $9,351 – $41,107 | — | — |
| Swedish Edmonds Hospital | $2,836 – $39,091 | — | — |
| Swedish Issaquah | $12,814 – $35,052 | — | — |
| Swedish Medical Center | $37,758 – $46,004 | — | — |
| Swedish Medical Center / Cherry Hill | $37,758 – $46,004 | — | — |
| Tacoma General Allenmore Hospital | $23,418 – $57,877 | — | — |
| Virginia Mason Medical Center | $14,500 – $37,026 | — | — |
| Yakima Valley Memorial | $34,751 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.