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  5. /Case rate
HCPCS 29035

Application of shoulder to hip body cast

Reported by 7 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$536

Average

$4.8k

Median

$7.0k

High

$9.7k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Ukiah Adventist HospitalUkiah, CA$7.3k$7.6k$963—$245$8.8k
2Adventist Health Medical Center TehachapiTehachapi, CA$536$536$28—$245$880
3Sonora Community HospitalSonora, CA$6.8k$7.0k$861—$152$8.1k
4Reedley Community HospitalReedley, CA$7.0k$7.3k$895—$147$8.4k
5Adventist Health Mendocino CoastBragg, CA$842$842$44—$245$887
6Lodi Memorial Hospital Association IncLodi, CA$785$791$71—$152$929
7Willits Hospital IncWillits, CA$9.7k$9.7k$877—$245$10.5k

Look up this code directly

Ask Claude or any MCP client for HCPCS 29035 pricing at a specific hospital — see how to connect.

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