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
BARRIER SEPRAFILM 4-SECTION
Quitman, MS
See all hospitals reporting HCPCS C1765 →Price type
Rush Medical Foundation’s median price of $799 is 5% below the median hospital's median price ($845), higher than 47% 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: 11 payers, 14 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 | $577 | $656 | $236 | 36% | — | $488 – $1.2k |
| 2 | Cigna all payor other · outpatient | $686 | $780 | $281 | 36% | — | $580 – $1.4k |
| 3 | Cigna Healthspring all payor other · outpatient | $714 | $812 | $293 | 36% | — | $604 – $1.5k |
| 4 | Humana all payor other · outpatient | $714 | $812 | $293 | 36% | — | $604 – $1.5k |
| 5 | Optum all payor other · outpatient | $714 | $812 | $293 | 36% | — | $604 – $1.5k |
| 6 | UnitedHealthcare all payor other · outpatient | $714 | $812 | $293 | 36% | — | $604 – $1.5k |
| 7 | Ambetter all payor other · outpatient | $722 | $820 | $296 | 36% | — | $610 – $1.5k |
| 8 | Molina all payor other · outpatient | $722 | $820 | $296 | 36% | — | $610 – $1.5k |
| 9 | WellCare all payor other · outpatient | $722 | $820 | $296 | 36% | — | $610 – $1.5k |
| 10 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $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 | Bcbs Ms all payor other · outpatient | $985 | $1.1k | $404 | 36% | — | $833 – $2.0k |
| 14 | MultiPlan all payor other · inpatient | $1.0k | $1.2k | $429 | 36% | — | $885 – $2.1k |
Last updated: Apr 1, 2026
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