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 heavy
Low
$0
Average
$161
Median
$103
High
$629
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
20 payers; the 90th percentile is 83.7× 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 | 32 | $225 | $221 | $85 | 39% | — | $102 – $492 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 20 | $4 | $53 | $130 | 248% | — | $4 – $477 |
| 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 · +1 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 | 12 | $146 | $245 | $111 | 45% | — | $146 – $518 |
| 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 | $256 | $256 | — | — | — | $256 – $256 |
| 10 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $256 | $256 | $2 | 1% | — | $254 – $259 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $503 | $523 | $31 | 6% | — | $499 – $567 |
| 14 | First Health professional · fee schedule · both | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Bcbs Il professional · fee schedule · both | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs Nc facility · fee schedule · outpatient | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 18 | Bcbs Nv fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Bcbs Vt professional · fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 20 | Wellmark case rate · outpatient · +1 other terms | 1 | $941 | $941 | — | — | — | $941 – $941 |
← Hospitals reporting HCPCS S8426 · Snapshot 20261112T181611Z-3fa9fb76