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 lwr leg/ft nght
Low
$163
Average
$439
Median
$402
High
$840
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 | 345 | $385 | $431 | $202 | 47% | — | $217 – $2.5k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 337 | $387 | $386 | $82 | 21% | — | $106 – $1.3k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 313 | $381 | $402 | $135 | 34% | — | $178 – $1.5k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $395 | $405 | $61 | 15% | — | $367 – $743 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 197 | $391 | $475 | $185 | 39% | — | $0 – $1.8k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $383 | $385 | $7 | 2% | — | $373 – $410 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 135 | $564 | $530 | $199 | 38% | — | $271 – $1.0k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $392 | $390 | $10 | 3% | — | $383 – $414 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 97 | $395 | $437 | $126 | 29% | — | $245 – $1.1k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $376 | $532 | $528 | 99% | — | $373 – $2.9k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $391 | $573 | $423 | 74% | — | $373 – $2.9k |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $393 | $390 | $11 | 3% | — | $373 – $403 |
| 13 | Ambetter facility · fee schedule · outpatient · +5 other terms | 40 | $648 | $700 | $165 | 24% | — | $373 – $952 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $403 | $402 | $2 | 1% | — | $373 – $403 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $388 | $431 | $81 | 19% | — | $381 – $592 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $403 | $439 | $93 | 21% | — | $376 – $652 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $383 | $503 | $202 | 40% | — | $367 – $958 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $399 | $412 | $124 | 30% | — | $308 – $1.5k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $376 | $376 | $1 | 0% | — | $376 – $377 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $460 | $449 | $22 | 5% | — | $391 – $460 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $399 | $389 | $23 | 6% | — | $317 – $406 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $383 | $441 | $112 | 25% | — | $209 – $606 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $382 | $365 | $17 | 5% | — | $344 – $382 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $336 | $336 | $2 | 0% | — | $326 – $336 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $183 | $262 | $94 | 36% | — | $183 – $373 |
← Hospitals reporting HCPCS A6524 · Snapshot 20261112T124536Z-e251e855