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Application Of A Shoulder Spica Cast

New York 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?

$2,859

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $2,859 for this procedure. That total is two separate charges: $229 to the doctor who performs it, and $2,630 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$229$174 to $316
Facility feeThe hospital or surgery center$2,630$309 to $3,890

How much rates vary

Facilitymedian $2,630 · 10th to 90th $174 to $4,898Professionalmedian $229 · 10th to 90th $138 to $537
$100$200$500$1K$2K$5K$10Kfacility $2,630professional $229

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
$144.54
Median
$229.09
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$549.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$288.40
Typical High
$776.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$407.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$549.54
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$489.78
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,454.71
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$275.42
Typical High
$758.58
Univera
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$616.60
Univera
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$537.03

Where New York 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

New York· 6th of 49

$2,859

$229 physician + $2,630 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.