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
Gradient comp sleev/glov
Low
$44
Average
$119
Median
$105
High
$290
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 1.8× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +7 other terms | 343 | $103 | $116 | $56 | 48% | — | $58 – $684 |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 335 | $104 | $104 | $22 | 22% | — | $60 – $342 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $102 | $108 | $38 | 35% | — | $48 – $412 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $106 | $109 | $17 | 15% | — | $99 – $200 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $105 | $129 | $50 | 39% | — | $0 – $482 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $103 | $103 | $2 | 2% | — | $100 – $110 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $152 | $143 | $53 | 37% | — | $77 – $270 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $105 | $105 | $3 | 3% | — | $103 – $111 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $106 | $118 | $34 | 28% | — | $100 – $299 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $101 | $143 | $142 | 99% | — | $100 – $773 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $105 | $167 | $125 | 75% | — | $100 – $766 |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $106 | $105 | $3 | 3% | — | $100 – $108 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $108 | $108 | $1 | 1% | — | $100 – $108 |
| 14 | Ambetter facility · fee schedule · outpatient · +5 other terms | 39 | $177 | $189 | $45 | 24% | — | $100 – $256 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $104 | $122 | $25 | 21% | — | $102 – $159 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $108 | $118 | $25 | 21% | — | $101 – $175 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $103 | $135 | $54 | 40% | — | $99 – $258 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $107 | $111 | $33 | 30% | — | $83 – $409 |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $101 | $101 | $0 | 0% | — | $101 – $101 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $124 | $121 | $6 | 5% | — | $105 – $124 |
| 21 | Regence facility · fee schedule · outpatient · +3 other terms | 18 | $107 | $104 | $6 | 6% | — | $85 – $109 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $103 | $119 | $30 | 25% | — | $56 – $163 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $103 | $98 | $5 | 5% | — | $93 – $103 |
| 24 | Tricare facility · fee schedule · outpatient · +1 other terms | 13 | $103 | $101 | $3 | 3% | — | $93 – $103 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $90 | $90 | $0 | 0% | — | $88 – $90 |
← Hospitals reporting HCPCS A6575 · Snapshot 20261112T124536Z-e251e855