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 bra nighttime
Low
$64
Average
$704
Median
$654
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.2× 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 · +10 other terms | 343 | $669 | $743 | $361 | 49% | — | $207 – $4.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 335 | $673 | $664 | $153 | 23% | — | $205 – $2.2k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $660 | $685 | $251 | 37% | — | $207 – $2.7k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $686 | $694 | $126 | 18% | — | $211 – $1.3k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $680 | $822 | $332 | 40% | — | $0 – $3.1k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $666 | $669 | $11 | 2% | — | $649 – $713 |
| 7 | Molina fee schedule · outpatient · +5 other terms | 133 | $981 | $926 | $345 | 37% | — | $500 – $1.7k |
| 8 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 113 | $681 | $678 | $18 | 3% | — | $666 – $720 |
| 9 | Cigna fee schedule · outpatient · +7 other terms | 95 | $686 | $765 | $218 | 28% | — | $649 – $1.9k |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 73 | $653 | $925 | $918 | 99% | — | $649 – $5.0k |
| 11 | Kaiser fee schedule · outpatient · +6 other terms | 61 | $680 | $989 | $798 | 81% | — | $211 – $5.0k |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $649 | $601 | $153 | 25% | — | $205 – $700 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $700 | $699 | $4 | 1% | — | $649 – $700 |
| 14 | Ambetter facility · fee schedule · outpatient · +5 other terms | 39 | $1.1k | $1.2k | $305 | 25% | — | $464 – $1.7k |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $666 | $682 | $251 | 37% | — | $211 – $1.0k |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $700 | $763 | $162 | 21% | — | $653 – $1.1k |
| 17 | Optum fee schedule · outpatient · +4 other terms | 33 | $666 | $874 | $350 | 40% | — | $639 – $1.7k |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $694 | $717 | $215 | 30% | — | $536 – $2.6k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $653 | $555 | $165 | 30% | — | $205 – $653 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $800 | $780 | $38 | 5% | — | $680 – $800 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $693 | $675 | $40 | 6% | — | $552 – $706 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $666 | $767 | $194 | 25% | — | $363 – $1.1k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $664 | $634 | $29 | 5% | — | $599 – $664 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $584 | $584 | $3 | 0% | — | $567 – $584 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $318 | $456 | $163 | 36% | — | $318 – $649 |
← Hospitals reporting HCPCS A6528 · Snapshot 20261112T124536Z-e251e855