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Application Of A Shoulder Spica Cast

South Dakota 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?

$584

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $584 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $309 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$275$195 to $437
Facility feeThe hospital or surgery center$309$219 to $372

How much rates vary

Facilitymedian $309 · 10th to 90th $178 to $501Professionalmedian $275 · 10th to 90th $135 to $550
$200$500$1Kfacility $309professional $275

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
$134.90
Median
$134.90
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$691.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$501.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$467.74
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$660.69

Where South Dakota 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

South Dakota· 25th of 49

$584

$275 physician + $309 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.