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HCPCS C1765

FILM ABSORBABLE GELFILM DISP 00009-0283-01[INLH]

Reported by 77 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$1.8k

Median

$1.1k

High

$20.6k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$153$1.7k$2.2k$15.9k$2.3k
2Bluffton Health System LLCBluffton, IN$622$1.1k$1.1k$5.6k$497
3Dukes Health System LLCPeru, IN$344$1.1k$1.0k$3.4k$335
4Warsaw Health System LLCWarsaw, IN$129$198$307$5.6k$173
5Lutheran Musculoskeletal Center LLCFort Wayne, IN$148$148$148$1.5k—
6St. Joseph Health System, LLCIN 46802, IN$153$1.7k$4.5k$20.3k$5.4k
7Dupont Hospital LLCIN 46825, IN$161$564$696$15.8k$463
8Durant HMA LLCDurant, OK$200$200$200$1.8k—
9Wesley Health System LLCHattiesburg, MS$133$1.2k$1.2k$2.2k$682
10Porter Hospital LLCValparaiso, IN$108$382$382$5.5k$274
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