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
L-LEG CAST FIBERGLS >=11 YRS
Williamsport, PA
See all hospitals reporting HCPCS Q4030 →Price type
UPMC Williamsport’s median price of $790 is 708% above the median hospital's median price ($98), higher than 100% of the 817 hospitals reporting HCPCS Q4030. 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 | $318 | $318 | — | — | — | $318 – $318 |
| 2 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $468 | $468 | — | — | — | $468 – $468 |
| 3 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 4 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 5 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $552 | $552 | — | — | — | $552 – $552 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $561 | $561 | — | — | — | $561 – $561 |
| 7 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $590 | $590 | — | — | — | $590 – $590 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $593 | $593 | — | — | — | $593 – $593 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $623 | $623 | — | — | — | $623 – $623 |
| 10 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $777 | $777 | — | — | — | $777 – $777 |
| 11 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $777 | $777 | — | — | — | $777 – $777 |
| 12 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $792 | $792 | — | — | — | $792 – $792 |
| 13 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $792 | $792 | — | — | — | $792 – $792 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $805 | $805 | — | — | — | $805 – $805 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $805 | $805 | — | — | — | $805 – $805 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $806 | $806 | — | — | — | $806 – $806 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $806 | $806 | — | — | — | $806 – $806 |
| 18 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $918 | $918 | — | — | — | $918 – $918 |
| 19 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $918 | $918 | — | — | — | $918 – $918 |
| 20 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $918 | $918 | — | — | — | $918 – $918 |
| 21 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $918 | $918 | — | — | — | $918 – $918 |
Last updated: Mar 6, 2026
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