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
S-ARM CAST FIBERGLS 0-10 YRS
Williamsport, PA
See all hospitals reporting HCPCS Q4012 →Price type
UPMC Williamsport’s median price of $101 is 696% above the median hospital's median price ($13), higher than 97% of the 851 hospitals reporting HCPCS Q4012. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 2 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 4 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 5 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 7 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 11 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 12 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 13 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 18 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 19 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 20 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 21 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
Last updated: Mar 6, 2026
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