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 genital custm
Low
$290
Average
$784
Median
$696
High
$1.9k
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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +7 other terms | 343 | $684 | $766 | $361 | 47% | — | $386 – $4.5k |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 335 | $688 | $685 | $146 | 21% | — | $399 – $2.3k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $674 | $713 | $242 | 34% | — | $315 – $2.7k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $701 | $719 | $109 | 15% | — | $652 – $1.3k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $694 | $845 | $330 | 39% | — | $0 – $3.2k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $681 | $683 | $12 | 2% | — | $663 – $729 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $1.0k | $946 | $353 | 37% | — | $511 – $1.8k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $696 | $692 | $18 | 3% | — | $681 – $735 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $701 | $781 | $222 | 28% | — | $663 – $2.0k |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $667 | $945 | $938 | 99% | — | $663 – $5.1k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $694 | $1.0k | $768 | 74% | — | $663 – $5.1k |
| 12 | Ambetter facility · fee schedule · outpatient · +5 other terms | 42 | $1.1k | $1.2k | $292 | 24% | — | $663 – $1.7k |
| 13 | Clover fee schedule · outpatient · +2 other terms | 41 | $688 | $689 | $25 | 4% | — | $644 – $715 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $715 | $715 | $4 | 1% | — | $663 – $715 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $683 | $769 | $151 | 20% | — | $663 – $1.1k |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $715 | $780 | $166 | 21% | — | $667 – $1.2k |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $681 | $893 | $358 | 40% | — | $652 – $1.7k |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $709 | $732 | $220 | 30% | — | $547 – $2.7k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $667 | $665 | $8 | 1% | — | $644 – $670 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $817 | $797 | $39 | 5% | — | $694 – $817 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $708 | $690 | $40 | 6% | — | $564 – $722 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $681 | $783 | $198 | 25% | — | $371 – $1.1k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $678 | $648 | $30 | 5% | — | $611 – $678 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $597 | $596 | $3 | 0% | — | $579 – $597 |
| 25 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $325 | $466 | $167 | 36% | — | $325 – $663 |
← Hospitals reporting HCPCS A6571 · Snapshot 20261112T124536Z-e251e855