CPT 29058
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
Application of shoulder cast
Low
$6
Average
$126
Median
$132
High
$250
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22 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 2 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $132 | $132 | $6 | 5% | — | $125 – $138 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 5 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 6 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 11 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 13 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 14 | Henry Ford Health Novi, MI other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 15 | Henry Ford Health Twp, MI other · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 16 | Henry Ford Health Southfield, MI other · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 17 | Henry Ford Health Rochester, MI other · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 18 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 19 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 20 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 21 | Ojai Valley Community Hospital Ca. 93023 facility · fee schedule · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 22 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
← Payers reporting CPT 29058 · Snapshot 20261113T090226Z-3ce6c0b8