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HCPCS C1765

Adhesion barrier

Current code40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1,071 – $1,375$2,677 – $3,438
Cascade Valley HospitalArlington$2,385 – $6,6541 plan$1,904 – $5,302$2,380 – $6,628
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$962 – $1,375$2,404 – $3,438
Harborview Medical CenterSeattleFile dated 2026-04-01—$452 – $16,374$645 – $23,392
Highline Medical CenterBurienFile dated 2026-02-28—$382 – $627$1,249 – $2,054
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$893 – $1,995$1,275 – $2,850
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$962 – $1,375$2,404 – $3,438
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$862 – $1,375$2,156 – $3,438
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$1,071 – $1,375$2,677 – $3,438
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$862 – $1,375$2,156 – $3,438
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$862 – $1,375$2,156 – $3,438
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$555 – $672$1,110 – $1,345
PeaceHealth Southwest Medical CenteVancouver—$496$764
PeaceHealth St Joseph Medical CenterBellingham—$496$764
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$898 – $5,514$1,283 – $7,877
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,382 – $3,321$2,657 – $6,387
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$898 – $2,034$1,283 – $2,905
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$855 – $1,940$1,222 – $2,772
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$1,507 – $7,584$2,899 – $14,584
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$855 – $1,940$1,222 – $2,772
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$932 – $2,001$1,332 – $2,859
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,382 – $3,321$2,657 – $6,387
Seattle Children's HospitalSeattle—$1,898$1,898
Skagit Valley HospitalMount Vernon—$1,904 – $5,302$2,380 – $6,628
St Anthony HospitalGig HarborFile dated 2026-02-28—$380 – $625$1,249 – $2,054
St Clare HospitalLakewoodFile dated 2026-02-28—$360 – $592$1,249 – $2,054
St Elizabeth HospitalEnumclawFile dated 2026-02-28$212 – $4255 plans$442 – $726$1,249 – $2,054
St Francis Community HospitalFederal WayFile dated 2026-02-28—$392 – $645$1,249 – $2,054
St Joseph Medical CenterTacomaFile dated 2026-02-28—$414 – $680$1,249 – $2,054
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$551 – $906$1,249 – $2,054
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$914 – $2,661$1,904 – $5,544
Swedish IssaquahIssaquahFile dated 2026-04-01—$914 – $2,106$1,904 – $4,388
Swedish Medical CenterSeattleFile dated 2026-04-01—$914 – $2,661$1,904 – $5,544
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$588 – $2,106$1,225 – $4,388
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1,071 – $1,375$2,677 – $3,438
Trios HealthKennewick——$1,949
University of Washington Medical CtrSeattleFile dated 2026-04-01—$394 – $14,554$563 – $20,792
Virginia Mason Medical CenterSeattle—$254 – $734$499 – $1,440
WhidbeyHealth Medical CenterCoupeville—$1,507$1,507
Yakima Valley MemorialYakimaFile dated 2026-08-27—$756 – $941$1,890 – $2,353

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.