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Hip Spica Cast Supplies, Pediatric, Fiberglass

Montana rates for HCPCS Q4028

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

Rates data updated October 2026.

How much does Hip Spica Cast Supplies, Pediatric, Fiberglass cost?

$77.62

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $93.33 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$57.54 to $79.43
FacilityA hospital or hospital-owned outpatient department$93.33$77.62 to $4,266

How much rates vary

Facilitymedian $93 · 10th to 90th $76 to $4,365Professionalmedian $78 · 10th to 90th $32 to $83
$50$100$200$500$1K$2K$5Kfacility $93professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$58.88
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$93.33
Typical High
$4,365.16
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$93.33
Typical High
$4,570.88
Providence
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Providence
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$77.62
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$31.62
Typical High
$52.48

Where Montana sits

The same service costs 2.8 times more in Hawaii than in New York. 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.

Montana· 2nd of 51

$77.62

HI $81.28NY $29.51

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.