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 glove med
Low
$0
Average
$172
Median
$104
High
$829
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 120.6× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +6 other terms | 22 | $5 | $76 | $132 | 174% | — | $4 – $469 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms | 22 | $154 | $185 | $81 | 44% | — | $102 – $398 |
| 3 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 7 | Cigna facility · fee schedule · outpatient · +3 other terms | 13 | $110 | $216 | $162 | 75% | — | $110 – $829 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 11 | $10 | $10 | $2 | 22% | — | $9 – $15 |
| 9 | Highmark fee schedule · outpatient · +2 other terms | 10 | $174 | $174 | — | — | — | $174 – $174 |
| 10 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Humana fee schedule · inpatient · +2 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $503 | $523 | $31 | 6% | — | $499 – $567 |
| 13 | First Health professional · fee schedule · both | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Excellus fee schedule · outpatient | 2 | $477 | $475 | $65 | 14% | — | $292 – $498 |
| 15 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Nc facility · fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 19 | Healthpartners facility · fee schedule · outpatient | 1 | $829 | $829 | — | — | — | $829 – $829 |
← Hospitals reporting HCPCS S8425 · Snapshot 20261112T181611Z-3fa9fb76