Body cast from shoulders to hips, including head

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Apply Cast Shoulder to Hips W/Head

Payers reporting CPT 29040

Payer pricing summary

Low

$122

Average

$793

Median

$437

High

$6.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	485	$271	$840	$1.6k	185%	—	$29 – $17.9k
2	Aetna fee schedule · outpatient · +20 other terms	437	$302	$1.6k	$3.7k	234%	—	$79 – $33.6k
3	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	354	$495	$892	$1.6k	180%	—	$1 – $16.4k
4	Humana fee schedule · outpatient · +21 other terms	347	$267	$433	$845	195%	—	$68 – $12.8k
5	Cigna case rate · outpatient · +18 other terms	232	$1.8k	$4.3k	$7.1k	165%	—	$0 – $40.7k
6	Molina fee schedule · outpatient · +13 other terms	212	$199	$190	$136	71%	—	$78 – $824
7	WellCare fee schedule · outpatient · +10 other terms	160	$267	$376	$562	149%	—	$105 – $4.3k
8	Oscar case rate · outpatient · +14 other terms	130	$2.5k	$2.6k	$789	30%	—	$415 – $7.5k
9	Anthem fee schedule · outpatient · +17 other terms	123	$366	$525	$693	132%	—	$120 – $6.3k
10	Kaiser fee schedule · outpatient · +10 other terms	94	$398	$604	$689	114%	—	$154 – $4.3k
11	Ambetter facility · fee schedule · outpatient · +8 other terms	69	$496	$696	$1.1k	162%	—	$247 – $8.2k
12	Devoted fee schedule · outpatient · +8 other terms	67	$269	$267	$37	14%	—	$171 – $312
13	Aetna Better Health fee schedule · outpatient · +10 other terms	63	$126	$132	$25	19%	—	$110 – $249
14	Optum fee schedule · outpatient · +11 other terms	53	$245	$312	$181	58%	—	$171 – $1.0k
15	Caresource fee schedule · outpatient · +9 other terms	42	$270	$516	$1.0k	198%	—	$136 – $4.3k
16	Healthcare Highways case rate · outpatient · +1 other terms	42	$5.8k	$6.6k	$5.1k	78%	—	$2.1k – $14.6k
17	Superior Healthplan case rate · outpatient · +1 other terms	38	$948	$935	$75	8%	—	$399 – $948
18	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$338	$331	$156	47%	—	$100 – $954
19	Clover fee schedule · outpatient · +6 other terms	31	$297	$839	$1.3k	159%	—	$252 – $4.4k
20	Cigna Healthspring fee schedule · outpatient · +5 other terms	28	$105	$179	$79	44%	—	$105 – $279
21	Medica case rate · outpatient · +11 other terms	28	$838	$1.0k	$697	68%	—	$251 – $2.9k
22	Tricare fee schedule · outpatient · +9 other terms	27	$254	$967	$1.7k	179%	—	$201 – $5.1k
23	Bcbs La fee schedule · outpatient · +1 other terms	24	$405	$427	$143	33%	—	$175 – $749
24	Medicare fee schedule · outpatient · +8 other terms	24	$171	$813	$1.4k	170%	—	$154 – $4.2k
25	MultiPlan fee schedule · outpatient · +13 other terms	22	$431	$429	$17	4%	—	$249 – $463

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