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
Darco Wedge Shoe Med
Low
$5
Average
$44
Median
$25
High
$127
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 15.4× 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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22 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 2 | Durant HMA LLC Durant, OK facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 3 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 4 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Marshall County HMA, LLC Madill, OK facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Mat-Su Valley Medical Center LLC Palmer, AK facility · fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 15 | Northwest Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Northwest Sahurita Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Northwest Sahurita Hospital LLC Sahuarita, AZ facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | Oro Valley Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 20 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 21 | Roswell Hospital Corporation Roswell, NM facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
← Payers reporting HCPCS L3265 · Snapshot 20261111T120946Z-9134e7f7