What do doctors typically charge for Revascularization?

The nationwide median physician charge for Revascularization (HCPCS C9765) is $28724.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS C9765?

The standard insurance baseline reimbursement rate is $12299.17. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Revascularization

HCPCS C9765Medical Service

Revascularization

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed. Clinical pricing breakdown and utilization metrics across 2 practicing doctors nationwide.

$28724.00

Peer Median Charge

Gross billed rate

$12299.17

Standard Baseline

Customary allowable

2.3x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT C9765?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $28724.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $12299.17 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code C9765 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"