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
4063312 ADHESION BARRIER4[Omnicell Cath Lab]
Wayne, IN
See all hospitals reporting HCPCS C1765 →Price type
St. Joseph Health System, LLC’s median price of $3.5k is 319% above the median hospital's median price ($845), higher than 95% 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: 7 payers, 20 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $2.6k | $2.0k | 79% | — | $495 – $6.6k |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.6k | $2.0k | 79% | — | $495 – $6.6k |
| 3 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.9k | $2.3k | 79% | — | $556 – $7.4k |
| 4 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.9k | $2.3k | 79% | — | $556 – $7.4k |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.9k | $2.3k | 79% | — | $556 – $7.4k |
| 6 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $3.6k | $2.9k | 79% | — | $705 – $9.3k |
| 7 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $5.4k | $4.3k | 79% | — | $1.0k – $13.8k |
| 8 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $3.9k | $5.5k | $4.3k | 79% | — | $1.1k – $14.0k |
| 9 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $5.5k | $4.3k | 79% | — | $1.1k – $14.0k |
| 10 | UnitedHealthcare uhc apa facility · other · outpatient | $5.9k | $5.9k | $417 | 7% | — | $5.5k – $6.3k |
| 11 | UnitedHealthcare uhc options ppo facility · other · outpatient | $5.9k | $5.9k | $417 | 7% | — | $5.5k – $6.3k |
| 12 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $4.3k | $5.9k | $4.7k | 79% | — | $1.1k – $15.2k |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $5.9k | $4.7k | 79% | — | $1.1k – $15.2k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $4.4k | $6.2k | $4.9k | 79% | — | $1.2k – $15.9k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $6.2k | $4.9k | 79% | — | $1.2k – $15.9k |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $6.3k | $5.0k | 79% | — | $1.2k – $16.3k |
| 17 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $5.7k | $7.9k | $6.3k | 79% | — | $1.5k – $20.3k |
| 18 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $5.7k | $7.9k | $6.3k | 79% | — | $1.5k – $20.3k |
| 19 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $5.7k | $7.9k | $6.3k | 79% | — | $1.5k – $20.3k |
| 20 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $5.7k | $7.9k | $6.3k | 79% | — | $1.5k – $20.3k |
Last updated: Apr 1, 2026
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