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Application Of A Shoulder Spica Cast

Illinois rates for HCPCS 29055

A large cast is applied that wraps around the chest and continues down the arm, holding the shoulder in a set position. Keeping the shoulder and upper arm completely still lets a fracture or a repair heal in the right alignment. Padding is put on first and the cast is then moulded to the body.

Rates data updated July 2026.

How much does Application Of A Shoulder Spica Cast cost?

$608

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $608 for this procedure. That total is two separate charges: $219 to the doctor who performs it, and $389 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$219$155 to $324
Facility feeThe hospital or surgery center$389$224 to $661

How much rates vary

Facilitymedian $389 · 10th to 90th $138 to $1,514Professionalmedian $219 · 10th to 90th $126 to $437
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $389professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$416.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$1,621.81
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$676.08
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$389.05

Where Illinois sits

The same service costs 16.6 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIllinois $608 · 23rd of 49
IN $4,072MD $245

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.