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
Ready gradient sleev/glov
Low
$0
Average
$150
Median
$106
High
$773
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 48.4× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms | 35 | $110 | $194 | $127 | 66% | — | $73 – $489 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 22 | $4 | $68 | $115 | 168% | — | $4 – $313 |
| 3 | Cigna facility · fee schedule · outpatient · +3 other terms | 18 | $62 | $119 | $142 | 119% | — | $43 – $773 |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 6 | Molina facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 7 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 8 | Wellmark fee schedule · both · +1 other terms | 13 | $146 | $145 | $7 | 5% | — | $103 – $146 |
| 9 | Optum facility · case rate · outpatient · +1 other terms | 11 | $10 | $10 | $2 | 22% | — | $9 – $15 |
| 10 | Highmark fee schedule · outpatient · +2 other terms | 10 | $173 | $173 | — | — | — | $173 – $173 |
| 11 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $109 | $109 | $1 | 1% | — | $108 – $110 |
| 12 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Humana fee schedule · inpatient · +2 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $198 | $206 | $12 | 6% | — | $196 – $223 |
| 15 | First Health professional · fee schedule · both | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Excellus fee schedule · outpatient | 2 | $673 | $670 | $91 | 14% | — | $412 – $702 |
| 17 | Bcbs Il professional · fee schedule · both | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 18 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Nc facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $773 | $773 | — | — | — | $773 – $773 |
← Hospitals reporting HCPCS S8421 · Snapshot 20261112T181611Z-3fa9fb76