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
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Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$1.8k
Median
$739
High
$20.6k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 172 hospitals; the 90th percentile is 28.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX | $651 | $620 | $82 | 13% | 27–81 | $508 – $701 |
| 2 | Tacoma General Allenmore Hospital Tacoma, WA | $850 | $850 | — | — | 4–40 | $850 – $850 |
| 3 | Fairview Health Services Burnsville, MN | $303 | $305 | $22 | 7% | 4–40 | $283 – $329 |
| 4 | Sanford Fargo Medical Center Fargo, ND | $1.2k | $1.2k | — | — | 4–40 | $1.2k – $1.2k |
| 5 | Good Samaritan Hospital Puyallup, WA | $1.9k | $1.9k | — | — | 4–40 | $1.9k – $1.9k |
| 6 | Tucson Medical Center Tucson, AZ | $802 | $802 | — | — | 3–30 | $802 – $802 |
| 7 | Tucson Medical Center Tucson, AZ | $802 | $802 | — | — | 3–30 | $802 – $802 |
| 8 | Uniontown Hospital Uniontown, PA | $582 | $582 | — | — | 2–20 | $582 – $582 |
| 9 | HealthEast St John's Hospital Maplewood, MN | $327 | $327 | $4 | 1% | 2–20 | $323 – $330 |
| 10 | Samaritan Medical Center Watertown, NY | $825 | $825 | — | — | 2–20 | $825 – $825 |
Ask Claude or any MCP client for HCPCS C1765 pricing at a specific hospital — see how to connect.