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-LEG CAST FIBERGLS 0-10 YRS
Williamsport, PA
See all hospitals reporting HCPCS Q4040 →Price type
UPMC Williamsport’s median price of $214 is 701% above the median hospital's median price ($27), higher than 99% of the 830 hospitals reporting HCPCS Q4040. 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 | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $127 | $127 | — | — | — | $127 – $127 |
| 3 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 4 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 7 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 9 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 10 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 11 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 12 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 13 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $219 | $219 | — | — | — | $219 – $219 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $219 | $219 | — | — | — | $219 – $219 |
| 18 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $249 | $249 | — | — | — | $249 – $249 |
| 19 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $249 | $249 | — | — | — | $249 – $249 |
| 20 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $249 | $249 | — | — | — | $249 – $249 |
| 21 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $249 | $249 | — | — | — | $249 – $249 |
Last updated: Mar 6, 2026
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