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
IMP ADHSN BARRIER 30+ DAYS LVL 03
Glendale, AZ
See all hospitals reporting HCPCS C1765 →Price type
Banner Thunderbird Medical Center’s median price of $1.2k is 43% above the median hospital's median price ($845), higher than 67% of the 1,293 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, 23 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 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 2 | Bcbs Az bcbsaz maricopafocus facility · fee schedule · outpatient | $854 | $854 | — | — | — | $854 – $854 |
| 3 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $854 | $854 | — | — | — | $854 – $854 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $758 | $885 | $628 | 71% | — | $170 – $1.9k |
| 5 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 6 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $957 | $957 | — | — | — | $957 – $957 |
| 7 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $963 | $1.1k | $797 | 71% | — | $216 – $2.4k |
| 8 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Bcbs Az commercial facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.5k | $1.1k | 71% | — | $286 – $3.1k |
| 11 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $2.0k | $1.4k | 71% | — | $388 – $4.3k |
| 12 | UnitedHealthcare uhc doctor's plan facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.1k | $1.5k | 71% | — | $412 – $4.5k |
| 13 | Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.2k | $1.5k | 71% | — | $411 – $4.5k |
| 14 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.2k | $1.6k | 71% | — | $425 – $4.6k |
| 15 | UnitedHealthcare uhc core facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.2k | $1.6k | 71% | — | $431 – $4.7k |
| 16 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.3k | $1.7k | 71% | — | $448 – $4.9k |
| 17 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.3k | $1.7k | 71% | — | $448 – $4.9k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.4k | $1.7k | 71% | — | $454 – $4.9k |
| 19 | Cigna localflex facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.4k | $1.7k | 71% | — | $466 – $5.1k |
| 20 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.5k | $1.8k | 71% | — | $487 – $5.3k |
| 21 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.5k | $1.8k | 71% | — | $485 – $5.3k |
| 22 | Cigna localflex facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.7k | $1.9k | 72% | — | $466 – $6.1k |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.8k | $2.0k | 72% | — | $487 – $6.4k |
Last updated: Mar 2, 2026
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