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Shoulder Cast Supplies, Adult, Fiberglass

Pennsylvania rates for HCPCS Q4004

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

Rates data updated July 2026.

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

$93.33

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $155 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$93.33$87.10 to $115
FacilityA hospital or hospital-owned outpatient department$155$89.13 to $479

How much rates vary

Facilitymedian $155 · 10th to 90th $74 to $724Professionalmedian $93 · 10th to 90th $71 to $145
$100$1K$10Kfacility $155professional $93

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
$74.13
Median
$74.13
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$131.83
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
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$338.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$154.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$112.20
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$131.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$457.09
Typical High
$776.25
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$75.86
Typical High
$125.89

Where Pennsylvania sits

The same service costs 1.8 times more in Minnesota than in Rhode Island. 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.

Pennsylvania· 42nd of 51

$93.33

MN $151RI $83.18

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.