Fiberglass 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 fiberglas

Payers reporting HCPCS Q4026

Payer pricing summary

Low

$79

Average

$183

Median

$153

High

$512

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	301	$150	$229	$241	105%	—	$69 – $1.2k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	297	$151	$146	$22	15%	—	$56 – $257
3	Aetna fee schedule · outpatient · +11 other terms	276	$152	$179	$101	56%	—	$79 – $901
4	WellCare fee schedule · outpatient · +6 other terms	184	$155	$160	$26	16%	—	$147 – $293
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	182	$153	$183	$84	46%	—	$0 – $532
6	Devoted fee schedule · outpatient · +3 other terms	163	$150	$151	$3	2%	—	$144 – $159
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$155	$153	$4	3%	—	$150 – $162
8	Molina fee schedule · outpatient · +7 other terms	98	$213	$205	$81	40%	—	$71 – $394
9	Cigna fee schedule · outpatient · +11 other terms	79	$153	$171	$52	30%	—	$144 – $441
10	Anthem fee schedule · outpatient · +8 other terms	73	$147	$151	$12	8%	—	$144 – $245
11	Superior Healthplan fee schedule · outpatient	40	$158	$158	$1	0%	—	$147 – $158
12	Kaiser fee schedule · outpatient · +6 other terms	39	$147	$149	$4	2%	—	$144 – $153
13	Clover fee schedule · outpatient · +1 other terms	37	$150	$152	$5	3%	—	$147 – $158
14	Bcbs Tx fee schedule · outpatient	31	$139	$142	$42	29%	—	$104 – $515
15	Optum fee schedule · outpatient · +4 other terms	25	$150	$174	$73	42%	—	$144 – $376
16	Oscar fee schedule · outpatient · +3 other terms	24	$147	$152	$5	3%	—	$147 – $158
17	Caresource facility · case rate · outpatient · +4 other terms	20	$37	$94	$98	104%	—	$23 – $301
18	Ambetter facility · fee schedule · outpatient · +5 other terms	18	$218	$241	$26	11%	—	$218 – $271
19	Medicare fee schedule · outpatient · +2 other terms	18	$144	$145	$1	1%	—	$144 – $147
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	17	$180	$167	$33	20%	—	$73 – $180
21	Wellmark fee schedule · both · +2 other terms	13	$133	$133	$2	1%	—	$133 – $144
22	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$71	$103	$38	37%	—	$71 – $147
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$132	$133	$35	26%	—	$67 – $160
24	Bcbs Nj fee schedule · outpatient	12	$147	$318	$216	68%	—	$147 – $652
25	Highmark fee schedule · outpatient · +5 other terms	12	$154	$162	$61	38%	—	$69 – $427

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