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
Custom grad com glove heavy
Low
$132
Average
$426
Median
$328
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.2× 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 | 343 | $312 | $348 | $162 | 47% | — | $176 – $2.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 335 | $314 | $312 | $66 | 21% | — | $182 – $1.0k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 311 | $308 | $323 | $108 | 33% | — | $144 – $1.2k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $320 | $327 | $50 | 15% | — | $211 – $603 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 196 | $317 | $382 | $150 | 39% | — | $0 – $1.5k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $311 | $312 | $5 | 2% | — | $303 – $333 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $458 | $432 | $161 | 37% | — | $233 – $815 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $318 | $316 | $8 | 3% | — | $311 – $336 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 95 | $320 | $357 | $102 | 28% | — | $303 – $900 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $305 | $432 | $429 | 99% | — | $303 – $2.3k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $317 | $440 | $326 | 74% | — | $211 – $2.3k |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $307 | $311 | $29 | 9% | — | $205 – $327 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $327 | $326 | $2 | 1% | — | $303 – $327 |
| 14 | Ambetter facility · fee schedule · outpatient · +5 other terms | 39 | $534 | $570 | $134 | 24% | — | $303 – $772 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $311 | $335 | $69 | 21% | — | $211 – $481 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $327 | $356 | $76 | 21% | — | $305 – $529 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $311 | $408 | $163 | 40% | — | $298 – $777 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $324 | $334 | $100 | 30% | — | $250 – $1.2k |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $305 | $297 | $27 | 9% | — | $205 – $306 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $373 | $364 | $18 | 5% | — | $317 – $373 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $323 | $315 | $18 | 6% | — | $257 – $330 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $311 | $358 | $91 | 25% | — | $169 – $491 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $310 | $296 | $14 | 5% | — | $279 – $310 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $273 | $272 | $1 | 0% | — | $265 – $273 |
| 25 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $148 | $213 | $76 | 36% | — | $148 – $303 |
← Hospitals reporting HCPCS A6580 · Snapshot 20261112T124536Z-e251e855