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
BARRIER ADHES 3X5IN PROC PK BIORESORB MEMBRANE SEPRAFILM SOD HYALURONATE
Low
$3
Average
$952
Median
$577
High
$5.6k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
133 hospitals; the 90th percentile is 13.0× 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.
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134 hospital rates
iThe hospitals that file a WellCare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $690 | $849 | 123% | 4–40 | $155 – $2.2k |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $539 | $596 | $341 | 57% | — | $65 – $1.4k |
| 3 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $902 | $902 | $482 | 53% | — | $420 – $1.4k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $777 | $955 | 123% | — | $174 – $2.4k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $777 | $955 | 123% | — | $174 – $2.4k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $777 | $955 | 123% | — | $174 – $2.4k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $777 | $955 | 123% | — | $174 – $2.4k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $690 | $849 | 123% | — | $155 – $2.2k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $949 | $1.2k | 123% | — | $213 – $3.0k |
| 10 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $394 | $394 | — | — | — | $394 – $394 |
| 11 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $4.5k | $3.2k | 71% | — | $1.1k – $9.7k |
| 12 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $980 | $980 | — | — | — | $980 – $980 |
| 13 | Campbell County HMA, LLC LaFollette, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.9k | $1.3k | 68% | — | $721 – $3.6k |
| 14 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $1.3k | $1.3k | $5 | 0% | — | $1.3k – $1.3k |
| 15 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | $15 | 6% | — | $227 – $256 |
| 16 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $1.3k | $1.3k | $11 | 1% | — | $1.3k – $1.3k |
| 17 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 18 | Deaconess Health System Union County Hospital Morganfield, KY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $417 | $413 | $125 | 30% | — | $284 – $730 |
| 19 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $392 | $280 | 71% | — | $192 – $1.1k |
| 20 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 1 | $470 | $470 | — | — | — | $470 – $470 |
| 21 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 22 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 1 | $741 | $741 | — | — | — | $741 – $741 |
| 23 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 1 | $559 | $559 | — | — | — | $559 – $559 |
| 24 | East Carolina Health-Heritage, Inc. Tarboro, NC percent of total billed charges · bothfrom % of charges | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 25 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.8k | $768 | 27% | — | $2.1k – $3.9k |
← Payers reporting HCPCS C1765 · Snapshot 20261111T120946Z-9134e7f7