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Application Of A Shoulder Spica Cast

Pennsylvania 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?

$424

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

Insurers have agreed to pay about $424 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $229 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$195$141 to $229
Facility feeThe hospital or surgery center$229$141 to $631

How much rates vary

Facilitymedian $229 · 10th to 90th $141 to $1,549Professionalmedian $195 · 10th to 90th $126 to $331
$200$1K$5K$20Kfacility $229professional $195

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
$141.25
Median
$141.25
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$281.84
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$398.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$537.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$436.52
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$371.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$177.83
Typical High
$186.21
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$218.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$363.08

Where Pennsylvania 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

Pennsylvania· 43rd of 49

$424

$195 physician + $229 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.