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
ADHESION BARR 254X-331
Phoenix, AZ
See all hospitals reporting HCPCS C1765 →Price type
Agh Laveen Llc’s median price of $396 is 53% below the median hospital's median price ($848), higher than 18% of the 1,278 hospitals reporting HCPCS C1765. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 2 | Aetna commercial|all other plans case rate · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 3 | Aetna commercial|ppo case rate · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 4 | Cigna commercial|all other plans case rate · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 5 | Cigna commercial|ppo case rate · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $714 | $714 | — | — | — | $714 – $714 |
| 9 | MultiPlan commercial|all plans fee schedule · inpatient | $966 | $966 | — | — | — | $966 – $966 |
| 10 | MultiPlan commercial|all plans fee schedule · outpatient | $966 | $966 | — | — | — | $966 – $966 |
Last updated: Feb 28, 2026
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