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Application Of A Shoulder Spica Cast

Massachusetts 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?

$477

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

Insurers have agreed to pay about $477 for this procedure. That total is two separate charges: $263 to the doctor who performs it, and $214 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$263$174 to $380
Facility feeThe hospital or surgery center$214$166 to $437

How much rates vary

Facilitymedian $214 · 10th to 90th $132 to $1,862Professionalmedian $263 · 10th to 90th $138 to $631
$100$200$500$1K$2K$5Kfacility $214professional $263

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
$128.82
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$426.58
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$575.44
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$549.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$457.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$645.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$575.44
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$660.69

Where Massachusetts sits

The same service costs 16.6 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Massachusetts· 37th of 49

$477

$263 physician + $214 facility

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.