Shoulder cast supplies, adult, plaster

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

Cast sup shoulder cast plstr

Payers reporting HCPCS Q4003

Payer pricing summary

Low

$15

Average

$49

Median

$45

High

$126

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +12 other terms	299	$45	$68	$72	105%	—	$20 – $344
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	295	$45	$43	$6	14%	—	$19 – $54
3	Aetna fee schedule · outpatient · +14 other terms	274	$45	$54	$30	56%	—	$24 – $268
4	WellCare fee schedule · outpatient · +6 other terms	184	$46	$48	$8	16%	—	$44 – $87
5	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	180	$46	$54	$25	46%	—	$0 – $158
6	Devoted fee schedule · outpatient · +2 other terms	163	$45	$45	$1	2%	—	$43 – $47
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$46	$46	$1	3%	—	$45 – $48
8	Molina fee schedule · outpatient · +9 other terms	96	$63	$61	$24	40%	—	$21 – $117
9	Cigna fee schedule · outpatient · +12 other terms	78	$46	$51	$15	30%	—	$43 – $131
10	Anthem fee schedule · outpatient · +10 other terms	73	$44	$45	$4	8%	—	$43 – $73
11	Superior Healthplan fee schedule · outpatient	40	$47	$47	$0	0%	—	$44 – $47
12	Kaiser fee schedule · outpatient · +4 other terms	39	$44	$44	$1	2%	—	$43 – $46
13	Clover fee schedule · outpatient · +1 other terms	37	$45	$45	$1	3%	—	$44 – $47
14	Bcbs Tx fee schedule · outpatient	31	$41	$42	$12	29%	—	$31 – $153
15	Optum fee schedule · outpatient · +5 other terms	25	$45	$52	$22	42%	—	$43 – $112
16	Oscar fee schedule · outpatient · +6 other terms	24	$44	$45	$2	3%	—	$44 – $47
17	Caresource facility · case rate · outpatient · +5 other terms	20	$37	$46	$20	43%	—	$23 – $90
18	Medicare fee schedule · outpatient · +3 other terms	18	$43	$43	$0	1%	—	$43 – $44
19	Ambetter facility · fee schedule · outpatient · +5 other terms	17	$65	$72	$8	11%	—	$65 – $81
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$54	$50	$10	20%	—	$22 – $54
21	Wellmark fee schedule · both · +2 other terms	13	$40	$40	$1	1%	—	$40 – $43
22	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$21	$31	$11	37%	—	$21 – $44
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$39	$40	$10	26%	—	$20 – $48
24	Bcbs Nj fee schedule · outpatient	12	$44	$95	$64	68%	—	$44 – $194
25	Highmark fee schedule · outpatient · +5 other terms	12	$46	$48	$18	38%	—	$21 – $127

Page 1 of 2 · 50 payers