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
HC INTERCEED ADHESION BARRIER
Lititz, PA
See all hospitals reporting HCPCS C1765 →Price type
UPMC Lititz’s median price of $443 is 48% below the median hospital's median price ($848), higher than 20% of the 1,278 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: 6 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 | Aetna medicare facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $201 | $201 | $12 | 6% | — | $189 – $214 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $335 | $335 | $21 | 6% | — | $315 – $356 |
| 4 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $376 | $376 | $23 | 6% | — | $353 – $399 |
| 5 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $395 | $395 | $24 | 6% | — | $371 – $420 |
| 6 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $448 | $448 | $28 | 6% | — | $420 – $475 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $471 | $471 | $29 | 6% | — | $442 – $500 |
| 8 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $472 | $472 | $29 | 6% | — | $443 – $501 |
| 9 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $472 | $472 | $29 | 6% | — | $443 – $501 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $620 | $620 | $38 | 6% | — | $582 – $658 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $662 | $662 | $41 | 6% | — | $621 – $703 |
| 12 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $785 | $785 | $48 | 6% | — | $736 – $833 |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $855 | $855 | $53 | 6% | — | $802 – $908 |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $855 | $855 | $53 | 6% | — | $802 – $908 |
Last updated: Mar 6, 2026
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