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
$8
Average
$564
Median
$55
High
$11.8k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 24.6× 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
51 hospital rates
iThe hospitals that file a Premera 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 | Tacoma General Allenmore Hospital Bremerton, WA percent of total billed charges · outpatientfrom % of charges | 4 | $38 | $56 | $62 | 111% | 196–1,960 | $20 – $344 |
| 2 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 4 | $38 | $55 | $66 | 120% | 172–1,720 | $20 – $344 |
| 3 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 4 | $38 | $55 | $66 | 120% | 172–1,720 | $20 – $344 |
| 4 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 4 | $38 | $55 | $66 | 120% | 172–1,720 | $20 – $344 |
| 5 | MultiCare Deaconess Hospital Spokane, WA percent of total billed charges · outpatientfrom % of charges | 4 | $35 | $49 | $59 | 120% | 45–450 | $19 – $315 |
| 6 | MultiCare Valley Hospital Spokane Valley, WA percent of total billed charges · outpatientfrom % of charges | 4 | $35 | $50 | $60 | 120% | 44–440 | $19 – $315 |
| 7 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $9 | $8 | $1 | 11% | — | $6 – $9 |
| 8 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $56 | $59 | $32 | 54% | — | $24 – $104 |
| 10 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 2 | $76 | $76 | $15 | 20% | — | $55 – $104 |
| 11 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 2 | $76 | $76 | $15 | 20% | — | $55 – $104 |
| 12 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 2 | $85 | $86 | $9 | 10% | — | $72 – $104 |
| 13 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 2 | $92 | $92 | $10 | 10% | — | $77 – $113 |
| 14 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $31 | $18 | 56% | — | $9 – $61 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $11 | $13 | $7 | 58% | — | $4 – $24 |
| 17 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $23 | $13 | 56% | — | $7 – $45 |
| 18 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $20 | $11 | 56% | — | $6 – $38 |
| 19 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $54 | $30 | 56% | — | $16 – $105 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 21 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $15 | $8 | 51% | — | $4 – $28 |
| 22 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $27 | $14 | 50% | — | $7 – $49 |
| 23 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $20 | $11 | 53% | — | $6 – $37 |
| 24 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $14 | $8 | 58% | — | $4 – $28 |
| 25 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
← Payers reporting HCPCS L3260 · Snapshot 20261111T120946Z-9134e7f7