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 195X-254
Sacramento, CA
See all hospitals reporting HCPCS C1765 →Price type
Dignity Health’s median price of $1.7k is 102% above the median hospital's median price ($845), higher than 82% 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: 9 payers, 31 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 | Kaiser commercial|all plans fee schedule · inpatient | $742 | $1.2k | $1.2k | 97% | — | $173 – $4.1k |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $742 | $1.2k | $1.2k | 97% | — | $173 – $4.1k |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $742 | $1.2k | $1.2k | 97% | — | $173 – $4.1k |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $775 | $1.3k | $1.2k | 97% | — | $180 – $4.2k |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $775 | $1.3k | $1.2k | 97% | — | $180 – $4.2k |
| 6 | Molina medicaid|all plans fee schedule · inpatient | $839 | $1.4k | $1.3k | 97% | — | $195 – $4.6k |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $839 | $1.4k | $1.3k | 97% | — | $195 – $4.6k |
| 8 | Cigna commercial|localplus fee schedule · inpatient | $1.3k | $2.1k | $2.1k | 97% | — | $300 – $7.1k |
| 9 | Kaiser medicaid|all plans fee schedule · outpatient | $1.3k | $2.2k | $2.1k | 97% | — | $308 – $7.2k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $1.7k | $2.8k | $2.7k | 97% | — | $398 – $9.4k |
| 11 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.7k | $2.9k | $2.8k | 97% | — | $405 – $9.5k |
| 12 | Cigna commercial|localplus fee schedule · outpatient | $1.8k | $2.9k | $2.8k | 97% | — | $413 – $9.7k |
| 13 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $2.1k | $3.4k | $3.3k | 97% | — | $480 – $11.3k |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.2k | $3.6k | $3.5k | 97% | — | $518 – $12.2k |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $2.4k | $3.9k | $3.8k | 97% | — | $555 – $13.1k |
| 16 | First Health commercial|all plans fee schedule · inpatient | $2.4k | $4.0k | $3.9k | 97% | — | $563 – $13.2k |
| 17 | First Health commercial|all plans fee schedule · outpatient | $2.4k | $4.0k | $3.9k | 97% | — | $563 – $13.2k |
| 18 | Anthem commercial|connection epo fee schedule · outpatient | $2.5k | $4.0k | $3.9k | 97% | — | $570 – $13.4k |
| 19 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $2.5k | $4.2k | $4.1k | 97% | — | $593 – $13.9k |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $2.5k | $4.2k | $4.1k | 97% | — | $593 – $13.9k |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $2.6k | $4.2k | $4.1k | 97% | — | $600 – $14.1k |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $2.6k | $4.2k | $4.1k | 97% | — | $600 – $14.1k |
| 23 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $2.6k | $4.3k | $4.2k | 97% | — | $608 – $14.3k |
| 24 | Aetna commercial|all other plans fee schedule · inpatient | $2.9k | $4.7k | $4.6k | 97% | — | $668 – $15.7k |
| 25 | Aetna commercial|hmo fee schedule · inpatient | $2.9k | $4.7k | $4.6k | 97% | — | $668 – $15.7k |
Last updated: Feb 28, 2026
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