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 nght custm
Low
$311
Average
$847
Median
$765
High
$2.1k
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 | $732 | $815 | $378 | 46% | — | $414 – $4.8k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 335 | $736 | $732 | $153 | 21% | — | $427 – $2.4k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $722 | $759 | $250 | 33% | — | $338 – $2.9k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $751 | $766 | $114 | 15% | — | $663 – $1.4k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $744 | $895 | $349 | 39% | — | $0 – $3.4k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $729 | $732 | $13 | 2% | — | $710 – $780 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $1.1k | $1.0k | $378 | 37% | — | $547 – $1.9k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $745 | $741 | $20 | 3% | — | $729 – $787 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $751 | $837 | $238 | 28% | — | $710 – $2.1k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $714 | $1.0k | $1.0k | 99% | — | $710 – $5.5k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $744 | $1.0k | $746 | 73% | — | $663 – $5.4k |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $729 | $733 | $38 | 5% | — | $644 – $765 |
| 13 | Ambetter facility · fee schedule · outpatient · +5 other terms | 40 | $1.2k | $1.3k | $314 | 24% | — | $710 – $1.8k |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $765 | $765 | $4 | 1% | — | $710 – $765 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $729 | $788 | $144 | 18% | — | $663 – $1.1k |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $765 | $835 | $178 | 21% | — | $714 – $1.2k |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $729 | $956 | $383 | 40% | — | $698 – $1.8k |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $759 | $784 | $236 | 30% | — | $586 – $2.9k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $714 | $705 | $26 | 4% | — | $644 – $717 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $875 | $853 | $42 | 5% | — | $744 – $875 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $758 | $739 | $43 | 6% | — | $603 – $773 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $729 | $839 | $212 | 25% | — | $397 – $1.2k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $726 | $694 | $32 | 5% | — | $655 – $726 |
| 24 | Tricare facility · fee schedule · outpatient · +1 other terms | 13 | $729 | $716 | $20 | 3% | — | $656 – $729 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $639 | $638 | $3 | 0% | — | $620 – $639 |
← Hospitals reporting HCPCS A6523 · Snapshot 20261112T124536Z-e251e855