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
Grad com stocking bk 30-40
Low
$25
Average
$67
Median
$60
High
$163
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 1.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +9 other terms | 344 | $58 | $66 | $31 | 48% | — | $33 – $385 |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 335 | $59 | $58 | $13 | 22% | — | $34 – $192 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $57 | $61 | $21 | 35% | — | $27 – $232 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $60 | $61 | $9 | 15% | — | $56 – $112 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 206 | $60 | $81 | $56 | 70% | — | $0 – $414 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $58 | $58 | $1 | 2% | — | $56 – $62 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $85 | $81 | $30 | 37% | — | $43 – $152 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $59 | $59 | $2 | 3% | — | $58 – $63 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $60 | $67 | $19 | 28% | — | $56 – $167 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $57 | $80 | $80 | 99% | — | $56 – $435 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $59 | $94 | $70 | 75% | — | $56 – $431 |
| 12 | Ambetter facility · fee schedule · outpatient · +5 other terms | 41 | $96 | $105 | $26 | 25% | — | $37 – $144 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 41 | $60 | $59 | $2 | 3% | — | $56 – $61 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $61 | $61 | $0 | 1% | — | $56 – $61 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $59 | $69 | $14 | 21% | — | $58 – $90 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $61 | $66 | $14 | 21% | — | $57 – $99 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $58 | $76 | $30 | 40% | — | $56 – $145 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $60 | $62 | $19 | 30% | — | $47 – $230 |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $57 | $57 | $0 | 0% | — | $57 – $57 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $70 | $68 | $3 | 5% | — | $59 – $70 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $60 | $59 | $3 | 6% | — | $48 – $61 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $58 | $67 | $17 | 25% | — | $32 – $92 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $58 | $55 | $3 | 5% | — | $52 – $58 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $51 | $51 | $0 | 0% | — | $49 – $51 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $28 | $40 | $14 | 36% | — | $28 – $56 |
← Hospitals reporting HCPCS A6552 · Snapshot 20261112T124536Z-e251e855