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
Thumb Spica W/Carle Logo
Low
$0
Average
$270
Median
$262
High
$1.7k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
95 hospitals; the 90th percentile is 10.4× 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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103 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 2 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 3 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 5 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 6 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 7 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 8 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 10 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 11 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 12 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 14 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 15 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 17 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 18 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $575 | $509 | $106 | 21% | — | $293 – $575 |
| 19 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 20 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 21 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 22 | Durant HMA LLC Durant, OK facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $273 | $273 | — | — | — | $273 – $273 |
| 24 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 25 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $281 | $281 | — | — | — | $281 – $281 |
← Payers reporting HCPCS L3807 · Snapshot 20261111T120946Z-9134e7f7