Plaster hip spica cast supplies, adult

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 hip spica plaster

Payers reporting HCPCS Q4025

Payer pricing summary

Low

$17

Average

$61

Median

$50

High

$279

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +11 other terms	301	$48	$73	$77	105%	—	$22 – $370
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	297	$48	$47	$7	15%	—	$18 – $84
3	Aetna fee schedule · outpatient · +10 other terms	276	$49	$60	$33	56%	—	$35 – $288
4	WellCare fee schedule · outpatient · +6 other terms	184	$50	$51	$8	16%	—	$47 – $94
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	182	$49	$59	$27	46%	—	$0 – $170
6	Devoted fee schedule · outpatient · +3 other terms	163	$48	$48	$1	2%	—	$46 – $51
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$50	$49	$1	3%	—	$48 – $52
8	Molina fee schedule · outpatient · +7 other terms	98	$68	$66	$26	40%	—	$23 – $136
9	Cigna fee schedule · outpatient · +10 other terms	78	$49	$55	$17	30%	—	$46 – $141
10	Anthem fee schedule · outpatient · +8 other terms	73	$47	$48	$4	8%	—	$46 – $78
11	Superior Healthplan fee schedule · outpatient	40	$51	$51	$0	0%	—	$47 – $51
12	Kaiser fee schedule · outpatient · +6 other terms	39	$47	$48	$1	2%	—	$46 – $49
13	Clover fee schedule · outpatient · +1 other terms	37	$48	$49	$2	3%	—	$47 – $51
14	Bcbs Tx fee schedule · outpatient	31	$44	$45	$13	29%	—	$33 – $165
15	Optum fee schedule · outpatient · +4 other terms	25	$48	$56	$23	42%	—	$46 – $120
16	Oscar fee schedule · outpatient · +3 other terms	24	$47	$49	$2	3%	—	$47 – $51
17	Caresource facility · case rate · outpatient · +4 other terms	20	$37	$48	$22	47%	—	$23 – $96
18	Medicare fee schedule · outpatient · +2 other terms	18	$46	$46	$0	1%	—	$46 – $47
19	Ambetter facility · fee schedule · outpatient · +5 other terms	17	$70	$78	$8	11%	—	$70 – $87
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$58	$53	$11	20%	—	$23 – $58
21	Wellmark fee schedule · both · +2 other terms	13	$42	$43	$1	1%	—	$42 – $46
22	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$23	$33	$12	37%	—	$23 – $47
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$42	$43	$11	26%	—	$21 – $51
24	Bcbs Nj fee schedule · outpatient	12	$47	$102	$69	68%	—	$47 – $209
25	Highmark fee schedule · outpatient · +5 other terms	12	$49	$52	$19	38%	—	$22 – $137

Page 1 of 3 · 51 payers