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 SUPPLY HIP SPICA, <11YRFG
Coudersport, PA
See all hospitals reporting HCPCS Q4028 →Price type
UPMC Cole’s median price of $65 is 14% below the median hospital's median price ($76), higher than 13% of the 715 hospitals reporting HCPCS Q4028. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Highmark community blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 3 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 9 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 12 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 14 | MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 15 | MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 16 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 17 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 19 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 20 | Highmark managed care - social mission facility · fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 21 | Highmark commercial - indemnity facility · fee schedule · outpatient | $504 | $504 | — | — | — | $504 – $504 |
| 22 | Highmark managed care facility · fee schedule · outpatient | $504 | $504 | — | — | — | $504 – $504 |
Last updated: Mar 6, 2026
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