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 torso/shdr cust
Low
$403
Average
$1.1k
Median
$994
High
$2.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.0× 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 | $951 | $1.1k | $492 | 46% | — | $537 – $6.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 337 | $956 | $954 | $206 | 22% | — | $555 – $3.1k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 313 | $940 | $990 | $326 | 33% | — | $439 – $3.8k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $975 | $998 | $148 | 15% | — | $907 – $1.8k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 197 | $966 | $1.2k | $453 | 39% | — | $0 – $4.4k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $947 | $950 | $16 | 2% | — | $922 – $1.0k |
| 7 | Molina fee schedule · outpatient · +4 other terms | 135 | $1.4k | $1.3k | $495 | 37% | — | $710 – $2.5k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $968 | $963 | $26 | 3% | — | $947 – $1.0k |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $975 | $1.1k | $309 | 28% | — | $922 – $2.7k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $928 | $1.3k | $1.3k | 99% | — | $922 – $7.1k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $966 | $1.4k | $984 | 73% | — | $922 – $7.0k |
| 12 | Ambetter facility · fee schedule · outpatient · +5 other terms | 41 | $1.6k | $1.7k | $430 | 25% | — | $659 – $2.4k |
| 13 | Clover fee schedule · outpatient · +2 other terms | 41 | $978 | $968 | $25 | 3% | — | $922 – $994 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $994 | $994 | $5 | 1% | — | $922 – $994 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $958 | $1.0k | $184 | 18% | — | $940 – $1.5k |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $994 | $1.1k | $231 | 21% | — | $928 – $1.6k |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $947 | $1.2k | $498 | 40% | — | $907 – $2.4k |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $986 | $1.0k | $306 | 30% | — | $761 – $3.8k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $928 | $930 | $2 | 0% | — | $928 – $932 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $1.1k | $1.1k | $54 | 5% | — | $966 – $1.1k |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $985 | $959 | $56 | 6% | — | $784 – $1.0k |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $947 | $1.1k | $276 | 25% | — | $515 – $1.5k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $943 | $901 | $42 | 5% | — | $850 – $943 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $830 | $829 | $4 | 0% | — | $806 – $830 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $452 | $648 | $232 | 36% | — | $452 – $922 |
← Hospitals reporting HCPCS A6569 · Snapshot 20261112T124536Z-e251e855