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
MEMBRANE SEPRAFILM BIO 5X6IN[MSMHP]
Brandon, MS
See all hospitals reporting HCPCS C1765 →Price type
Brandon HMA LLC’s median price of $3.0k is 251% above the median hospital's median price ($848), higher than 94% of the 1,281 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, 11 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 uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $940 | $1.6k | $1.0k | 65% | — | $439 – $2.9k |
| 2 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $978 | $1.7k | $1.1k | 65% | — | $456 – $3.0k |
| 3 | UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.8k | $1.2k | 65% | — | $490 – $3.2k |
| 4 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $2.3k | $1.5k | 65% | — | $639 – $4.2k |
| 5 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $2.3k | $1.5k | 65% | — | $639 – $4.2k |
| 6 | Aetna aetna pho facility · other · inpatient | $2.4k | $4.0k | $2.6k | 65% | — | $1.1k – $7.2k |
| 7 | Aetna aetna pho facility · other · outpatient | $2.4k | $4.0k | $2.6k | 65% | — | $1.1k – $7.2k |
| 8 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $2.8k | $4.8k | $3.1k | 65% | — | $1.3k – $8.6k |
| 9 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $4.8k | $3.1k | 65% | — | $1.3k – $8.6k |
| 10 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $5.7k | $3.7k | 65% | — | $1.5k – $10.1k |
| 11 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $3.5k | $6.1k | $3.9k | 65% | — | $1.7k – $10.8k |
Last updated: Apr 1, 2026
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