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
SEPRAFILM BARRIER 3 X 2
DeKalb, MS
See all hospitals reporting HCPCS C1765 →Price type
Kemper CAH, Inc.’s median price of $776 is 8% below the median hospital's median price ($847), higher than 46% 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: 10 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 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $500 | $568 | $205 | 36% | — | $423 – $1.0k |
| 2 | Optum all payor other · outpatient | $628 | $714 | $258 | 36% | — | $531 – $1.3k |
| 3 | UnitedHealthcare all payor other · outpatient | $628 | $714 | $258 | 36% | — | $531 – $1.3k |
| 4 | Cigna all payor other · outpatient | $703 | $800 | $288 | 36% | — | $595 – $1.4k |
| 5 | Cigna Healthspring all payor other · outpatient | $739 | $840 | $303 | 36% | — | $625 – $1.5k |
| 6 | Humana all payor other · outpatient | $739 | $840 | $303 | 36% | — | $625 – $1.5k |
| 7 | Ambetter all payor other · outpatient | $747 | $849 | $306 | 36% | — | $631 – $1.5k |
| 8 | Molina all payor other · outpatient | $747 | $849 | $306 | 36% | — | $631 – $1.5k |
| 9 | WellCare all payor other · outpatient | $747 | $849 | $306 | 36% | — | $631 – $1.5k |
| 10 | Aetna all payor other · outpatient | $801 | $910 | $328 | 36% | — | $677 – $1.6k |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $801 | $910 | $328 | 36% | — | $677 – $1.6k |
| 12 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $924 | $1.1k | $379 | 36% | — | $781 – $1.9k |
| 13 | MultiPlan all payor other · inpatient | $1.0k | $1.2k | $429 | 36% | — | $885 – $2.1k |
Last updated: Apr 1, 2026
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