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 150X-195
Phoenix, AZ
See all hospitals reporting HCPCS C1765 →Price type
Dignity Health’s median price of $857 is 1% above the median hospital's median price ($847), higher than 51% of the 1,283 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: 7 payers, 13 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 | $215 | $269 | $174 | 65% | — | $75 – $618 |
| 2 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $292 | $365 | $237 | 65% | — | $102 – $838 |
| 3 | Aetna commercial|all plans fee schedule · outpatient | $600 | $749 | $486 | 65% | — | $209 – $1.7k |
| 4 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $857 | $804 | $106 | 13% | — | $537 – $857 |
| 5 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $857 | $804 | $106 | 13% | — | $537 – $857 |
| 6 | Optum commercial|optumhealth fee schedule · outpatient | $723 | $903 | $586 | 65% | — | $252 – $2.1k |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1.1k | $1000 | $220 | 22% | — | $537 – $1.1k |
| 8 | Cigna commercial|lifesource fee schedule · outpatient | $846 | $1.1k | $685 | 65% | — | $295 – $2.4k |
| 9 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $1.5k | $1.3k | $442 | 34% | — | $537 – $1.7k |
| 10 | First Health commercial|all plans fee schedule · inpatient | $1.1k | $1.3k | $872 | 65% | — | $376 – $3.1k |
| 11 | First Health commercial|all plans fee schedule · outpatient | $1.1k | $1.3k | $872 | 65% | — | $376 – $3.1k |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $1.2k | $1.5k | $985 | 65% | — | $424 – $3.5k |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $1.2k | $1.5k | $985 | 65% | — | $424 – $3.5k |
Last updated: Feb 28, 2026
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