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
$0
Average
$76
Median
$60
High
$334
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 36.7× 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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42 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 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $170 | $143 | $57 | 40% | 7–70 | $30 – $207 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $52 | $63 | $19 | 30% | — | $52 – $96 |
| 3 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 4 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $93 | $93 | $61 | 66% | — | $32 – $154 |
| 5 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 6 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $450 | $319 | $173 | 54% | — | $22 – $450 |
| 7 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 8 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $7 | $7 | $1 | 18% | — | $6 – $8 |
| 9 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $32 | $18 | 56% | — | $9 – $62 |
| 12 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $23 | $13 | 56% | — | $7 – $45 |
| 13 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | $30 | 75% | — | $10 – $71 |
| 17 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | $0 | 5% | — | $7 – $8 |
| 18 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $3 | $0 | 11% | — | $2 – $3 |
| 19 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $6 | $4 | 79% | — | $2 – $14 |
| 20 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $4 | $4 | 108% | — | $2 – $14 |
| 22 | Mercy Hospital Watonga Inc Watonga, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | Mercy Love County Marietta, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $4 | $1 | 19% | — | $3 – $5 |
| 25 | Mercy Rehabilitation Hospital South Louis, MO case rate · inpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
← Payers reporting HCPCS L3260 · Snapshot 20261111T120946Z-9134e7f7