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
Cast Supplies(Plaster)-5 Rolls
Low
$4
Average
$165
Median
$28
High
$815
Each hospital's average First Health rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 36.5× 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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72 hospital rates
iThe hospitals that file a First Health 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 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $29 | $30 | $6 | 21% | — | $23 – $39 |
| 2 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $30 | $6 | 21% | — | $23 – $39 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $27 | $28 | $6 | 21% | — | $22 – $36 |
| 6 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $28 | $6 | 21% | — | $22 – $36 |
| 7 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 8 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 9 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $51 | $51 | $2 | 4% | — | $49 – $53 |
| 10 | Longs Peak Hospital Longmont, CO percent of total billed charges · inpatientfrom % of charges | 1 | $729 | $729 | — | — | — | $729 – $729 |
| 11 | Longs Peak Hospital Longmont, CO percent of total billed charges · outpatientfrom % of charges | 1 | $729 | $729 | — | — | — | $729 – $729 |
| 12 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $27 | $6 | 21% | — | $21 – $35 |
| 13 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $27 | $6 | 21% | — | $21 – $35 |
| 14 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · inpatientfrom % of charges | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 15 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 17 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 19 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 23 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 24 | Mayo Clinic Health System Bloomer, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
← Payers reporting HCPCS A4580 · Snapshot 20261111T120946Z-9134e7f7