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
HC XR FOOT COMP MIN 3VW
Low
$0
Average
$95
Median
$86
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
388 hospitals; the 90th percentile is 4.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
441 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $148 | $197 | $70 | 35% | 123 | $148 – $296 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $79 | $79 | — | — | 71 | $79 – $79 |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $383 | $383 | $286 | 75% | 12 | $97 – $670 |
| 4 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $92 | $91 | $2 | 3% | 3–30 | $86 – $92 |
| 5 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $75 | $75 | — | — | 3–30 | $75 – $75 |
| 6 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $109 | $109 | — | — | 2–20 | $109 – $109 |
| 7 | Baptist Anderson Regional Medical Center Meridian, MS facility · other · outpatient | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 8 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 9 | Brigham and Women's Hospital Boston, MA other · both | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 10 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 11 | Mississippi Baptist Medical Center Jackson, MS facility · other · outpatient | 1 | $438 | $438 | — | — | 1–10 | $438 – $438 |
| 12 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $82 | $82 | — | — | 1–10 | $82 – $82 |
| 13 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 15 | Samaritan Hospital Troy, NY professional · fee schedule · outpatient | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 16 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $100 | $100 | $20 | 20% | — | $80 – $120 |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $16 | $18 | $11 | 62% | — | $6 – $31 |
| 19 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $76 | $74 | $3 | 4% | — | $68 – $76 |
| 20 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $28 | $24 | $10 | 41% | — | $8 – $32 |
| 21 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $28 | $24 | $10 | 41% | — | $8 – $32 |
| 22 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $28 | $24 | $10 | 41% | — | $8 – $32 |
| 23 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $28 | $24 | $10 | 41% | — | $8 – $32 |
| 24 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $28 | $24 | $10 | 41% | — | $8 – $32 |
| 25 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $28 | $24 | $10 | 41% | — | $8 – $32 |
← Payers reporting CPT 73630 · Snapshot 20261111T120946Z-9134e7f7