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 sup lngleg cylndr ped f
Maple Grove, MN
See all hospitals reporting HCPCS Q4036 →Price type
Fairview Maple Grove Surgery Center’s median price of $47 is 10% above the median hospital's median price ($43), higher than 76% of the 729 hospitals reporting HCPCS Q4036. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield federal fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Medica accessability fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Medica medicaid fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Medica ma non-snp fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Medica ma snp fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Medica prime solution fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 11 | Medica vantage fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 13 | Ucare mhcp fee schedule · both | $46 | $46 | — | — | — | $46 – $46 |
| 14 | Cigna commercial fee schedule · both | $55 | $55 | $5 | 9% | — | $50 – $60 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 16 | UnitedHealthcare commercial fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 17 | Medica bold fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 18 | Medica choice without / elect fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 20 | Medica choice with fee schedule · both | $89 | $89 | — | — | — | $89 – $89 |
| 21 | Ucare ifp fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 22 | Cigna commercial fee schedule · outpatient | $115 | $115 | $10 | 9% | — | $105 – $125 |
Last updated: May 18, 2026
See Pediatric fiberglass long leg cast supplies pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.