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 SHOE SURG WN SML DARCO 4-6
Low
$4
Average
$45
Median
$24
High
$494
Each hospital's average Optum rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 10.7× 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.
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104 hospital rates
iThe hospitals that file a Optum 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 4 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | $128 | 91% | — | $13 – $268 |
| 6 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | $128 | 91% | — | $13 – $268 |
| 7 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 8 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 9 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 10 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 11 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 12 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 13 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 14 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 15 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 3 | $11 | $11 | $2 | 19% | — | $8 – $15 |
| 16 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | $38 | 78% | — | $11 – $87 |
| 17 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | $38 | 78% | — | $11 – $87 |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | $38 | 78% | — | $11 – $87 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | $38 | 78% | — | $11 – $87 |
| 24 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $56 | $59 | $12 | 21% | — | $45 – $75 |
| 25 | Dukes Health System LLC Peru, IN facility · per diem · outpatient | 1 | $8 | $8 | $1 | 18% | — | $6 – $9 |
← Payers reporting HCPCS L3260 · Snapshot 20261111T120946Z-9134e7f7