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 garment arm nighttime
Low
$131
Average
$363
Median
$322
High
$865
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 1.9× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +10 other terms | 343 | $309 | $346 | $164 | 47% | — | $174 – $2.0k |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 335 | $310 | $310 | $66 | 21% | — | $180 – $1.0k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $304 | $322 | $110 | 34% | — | $142 – $1.2k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $316 | $325 | $50 | 15% | — | $294 – $595 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $313 | $382 | $150 | 39% | — | $0 – $1.4k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $307 | $308 | $5 | 2% | — | $299 – $329 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $452 | $427 | $159 | 37% | — | $230 – $805 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $314 | $313 | $8 | 3% | — | $307 – $332 |
| 9 | Cigna fee schedule · outpatient · +7 other terms | 95 | $316 | $353 | $100 | 28% | — | $299 – $889 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $301 | $427 | $423 | 99% | — | $299 – $2.3k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $313 | $476 | $354 | 74% | — | $299 – $2.3k |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $317 | $313 | $10 | 3% | — | $299 – $323 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $323 | $323 | $2 | 1% | — | $299 – $323 |
| 14 | Ambetter facility · fee schedule · outpatient · +5 other terms | 39 | $528 | $564 | $133 | 24% | — | $299 – $763 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $311 | $352 | $70 | 20% | — | $305 – $475 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $323 | $352 | $75 | 21% | — | $301 – $522 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $307 | $403 | $162 | 40% | — | $294 – $768 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $320 | $330 | $99 | 30% | — | $247 – $1.2k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $301 | $302 | $1 | 0% | — | $301 – $302 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $369 | $359 | $18 | 5% | — | $313 – $369 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $320 | $311 | $18 | 6% | — | $254 – $326 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $307 | $354 | $89 | 25% | — | $167 – $485 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $306 | $292 | $14 | 5% | — | $276 – $306 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $269 | $269 | $1 | 0% | — | $261 – $269 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $147 | $210 | $75 | 36% | — | $147 – $299 |
← Hospitals reporting HCPCS A6522 · Snapshot 20261112T124536Z-e251e855