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 garm lwrleg/ft ngt cus
Low
$330
Average
$896
Median
$812
High
$2.2k
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 · +9 other terms | 343 | $777 | $863 | $400 | 46% | — | $439 – $5.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 335 | $782 | $776 | $162 | 21% | — | $454 – $2.6k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $766 | $804 | $263 | 33% | — | $358 – $3.1k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $797 | $812 | $122 | 15% | — | $663 – $1.5k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $789 | $948 | $369 | 39% | — | $0 – $3.6k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $774 | $777 | $13 | 2% | — | $754 – $828 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $1.1k | $1.1k | $401 | 37% | — | $580 – $2.0k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $791 | $787 | $21 | 3% | — | $774 – $836 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $797 | $888 | $253 | 28% | — | $754 – $2.2k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $758 | $1.1k | $1.1k | 99% | — | $754 – $5.8k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $789 | $1.1k | $780 | 73% | — | $663 – $5.8k |
| 12 | Ambetter facility · fee schedule · outpatient · +5 other terms | 41 | $1.3k | $1.4k | $352 | 25% | — | $538 – $1.9k |
| 13 | Clover fee schedule · outpatient · +2 other terms | 41 | $768 | $775 | $51 | 7% | — | $644 – $813 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $813 | $812 | $4 | 1% | — | $754 – $813 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $774 | $828 | $154 | 19% | — | $663 – $1.2k |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $813 | $887 | $189 | 21% | — | $758 – $1.3k |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $774 | $1.0k | $407 | 40% | — | $741 – $1.9k |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $806 | $832 | $250 | 30% | — | $622 – $3.1k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $758 | $744 | $40 | 5% | — | $644 – $762 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $929 | $905 | $44 | 5% | — | $789 – $929 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $805 | $784 | $46 | 6% | — | $641 – $820 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $774 | $890 | $225 | 25% | — | $421 – $1.2k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $771 | $736 | $34 | 5% | — | $695 – $771 |
| 24 | Tricare facility · fee schedule · outpatient · +1 other terms | 13 | $774 | $760 | $21 | 3% | — | $697 – $774 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $678 | $678 | $3 | 0% | — | $658 – $678 |
← Hospitals reporting HCPCS A6525 · Snapshot 20261112T124536Z-e251e855