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 stockng full/chap 40+ cust
Low
$0
Average
$683
Median
$679
High
$1.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 28.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 55 | $101 | $113 | $35 | 31% | — | $0 – $196 |
| 2 | Bcbs Tx fee schedule · outpatient | 30 | $89 | $91 | $29 | 31% | — | $68 – $334 |
| 3 | Anthem facility · case rate · outpatient · +3 other terms | 15 | $53 | $58 | $14 | 23% | — | $36 – $90 |
| 4 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $54 | $58 | $13 | 23% | — | $36 – $92 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 15 | $53 | $58 | $13 | 23% | — | $37 – $90 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 15 | $54 | $59 | $14 | 23% | — | $37 – $92 |
| 7 | Optum facility · case rate · outpatient | 11 | $50 | $55 | $12 | 22% | — | $45 – $81 |
| 8 | Aetna percent of total billed charges · outpatientfrom % of charges | 5 | $1.1k | $1.1k | $957 | 90% | — | $104 – $3.5k |
| 9 | Cigna other · outpatient | 5 | $931 | $933 | $934 | 100% | — | $30 – $3.3k |
| 10 | Kaiser percent of total billed charges · outpatientfrom % of charges | 5 | $1.3k | $1.3k | $1.1k | 90% | — | $135 – $4.5k |
| 11 | MultiPlan percent of total billed charges · inpatientfrom % of charges · +1 other terms | 5 | $1.5k | $1.5k | $1.3k | 88% | — | $177 – $4.4k |
| 12 | Oscar percent of total billed charges · outpatientfrom % of charges | 5 | $819 | $819 | $723 | 88% | — | $98 – $2.4k |
| 13 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $1.3k | $1.3k | $1.2k | 88% | — | $156 – $3.9k |
| 14 | Tricare fee schedule · outpatient | 5 | $1.7k | $1.7k | $1.5k | 88% | — | $208 – $5.2k |
| 15 | Humana facility · other · outpatient | 2 | $78 | $78 | $12 | 15% | — | $67 – $90 |
| 16 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS A6561 · Snapshot 20261113T090226Z-3ce6c0b8