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Shoulder Cast Supplies, Adult, Plaster

Pennsylvania rates for HCPCS Q4003

Cast supplies, shoulder cast, adult (11 years +), plaster

Rates data updated July 2026.

How much does Shoulder Cast Supplies, Adult, Plaster cost?

$28.18

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $26.92 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.18$25.12 to $36.31
FacilityA hospital or hospital-owned outpatient department$26.92$21.38 to $41.69

How much rates vary

Facilitymedian $27 · 10th to 90th $21 to $174Professionalmedian $28 · 10th to 90th $21 to $49
$10.0$100.0$1.0K$10.0Kfacility $27professional $28

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
$21.38
Median
$21.38
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$48.98
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$97.72
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$30.90
Typical High
$44.67
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$32.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$42.66
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$120.23
Typical High
$223.87
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$36.31

Where Pennsylvania sits

The same service costs 1.7 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $28.18 · 40th of 51
HI $44.67RI $26.30

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.