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
G com garmnt glove nght cust
Low
$214
Average
$582
Median
$525
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 1.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +9 other terms | 343 | $504 | $560 | $261 | 47% | — | $285 – $3.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 335 | $507 | $503 | $106 | 21% | — | $294 – $1.7k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $497 | $521 | $173 | 33% | — | $232 – $2.0k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $517 | $526 | $81 | 15% | — | $394 – $972 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $512 | $615 | $241 | 39% | — | $0 – $2.3k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $502 | $504 | $9 | 2% | — | $489 – $537 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $739 | $697 | $260 | 37% | — | $376 – $1.3k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $513 | $510 | $14 | 3% | — | $502 – $542 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $517 | $576 | $164 | 28% | — | $489 – $1.5k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $492 | $697 | $692 | 99% | — | $489 – $3.8k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $512 | $698 | $517 | 74% | — | $394 – $3.7k |
| 12 | Ambetter facility · fee schedule · outpatient · +5 other terms | 41 | $835 | $913 | $216 | 24% | — | $489 – $1.2k |
| 13 | Clover fee schedule · outpatient · +2 other terms | 41 | $489 | $497 | $44 | 9% | — | $383 – $527 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $527 | $527 | $3 | 1% | — | $489 – $527 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $502 | $534 | $108 | 20% | — | $394 – $775 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $527 | $575 | $122 | 21% | — | $492 – $853 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $502 | $658 | $264 | 40% | — | $481 – $1.3k |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $523 | $540 | $162 | 30% | — | $403 – $2.0k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $492 | $477 | $39 | 8% | — | $383 – $494 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $602 | $587 | $29 | 5% | — | $512 – $602 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $522 | $509 | $30 | 6% | — | $415 – $532 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $502 | $577 | $146 | 25% | — | $273 – $793 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $500 | $477 | $22 | 5% | — | $451 – $500 |
| 24 | Tricare facility · fee schedule · outpatient · +1 other terms | 13 | $502 | $493 | $13 | 3% | — | $452 – $502 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $440 | $439 | $2 | 0% | — | $427 – $440 |
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