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See a sample rate comparisonHCPCS C9785 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Other Therapeutic Services and Supplies |
| Complexity Level | High |
National average reimbursement for HCPCS C9785 by major payers:
$2,120.82
$N/A
$49.42
$0.00
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HCPCS C9785
5 of 25 sample ratesHigher to lower in this preview
Bon Secours-Richmond Community Hospital LLC, Bon Secours - Richmond Community Hospital
$43,080.00Published rateEmanuel Medical Center, Inc., Emanuel Family Practice
$14,085.00Published rateLafayette General Medical Center Inc
$9,491.00Published rateEast Texas Medical Center Trinity, Community Health Clinic
$6,293.00Published rateGreat River Medical Center
Mississippi County Hospital System
$2,973.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS C9785 vs. Other Other Therapeutic Services and Supplies Codes
The HCPCS C9785 code is part of the Outpatient PPS services used for Other Therapeutic Services and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS C9785 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| C9785-HCPCS | High | Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9785. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9785 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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