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Procedure price report · Traction, splints, and other wound care

Shoulder spica cast application

CPT 29055the billing code this page is about

Application of a cast that encloses the chest and the upper arm together to hold the shoulder still. Covers one cast application.

Hospitals typically charge $463 cash for this outpatient procedure — the median across 476 hospitals that filed a usable cash price; the average of the middle 60% is $493. Most fall between $266 and $778 (20th–80th percentile).

Hospitals
476
States
46
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 476 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$182$286$463$759$1,301

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($182 vs $1,301).

How the prices are spread

$113 – $150: 11 hospitals$113$150 – $199: 25 hospitals$199 – $265: 36 hospitals$199$265 – $352: 84 hospitals$352 – $468: 65 hospitals$352$468 – $623: 63 hospitals$623 – $829: 86 hospitals$623$829 – $1,102: 17 hospitals$1,102 – $1,466: 27 hospitals$1,102$1,466 – $1,950: 16 hospitals$1,466median $463price bands are equal on a log scale
Hospitals per price band (430 of 476 — the bands cover the 5th to 95th percentile)
FromToHospitals
$113$15011
$150$19925
$199$26536
$265$35284
$352$46865
$468$62363
$623$82986
$829$1,10217
$1,102$1,46627
$1,466$1,95016

Against Medicare

Medicare pays (OPPS 2026, national rate)$286
Median cash price$463
Cash as a multiple of Medicare1.62×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $463.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $460 across 18 hospitalsWA$460Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $259 across 14 hospitalsIL$259Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $314 across 30 hospitalsNY$314Massachusetts: median $634 across 10 hospitalsMA$634Oregon: median $432 across 18 hospitalsOR$432Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $530 across 17 hospitalsIA$530Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $521 across 12 hospitalsOH$521Pennsylvania: median $53 across 14 hospitalsPA$53New Jersey: median $879 across 28 hospitalsNJ$879Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $773 across 77 hospitalsCA$773Utah: no hospital in the corpus filed a usable priceUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: median $367 across 11 hospitalsVA$367Maryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $432 across 12 hospitalsSC$432Oklahoma: median $226 across 12 hospitalsOK$226Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $405 across 55 hospitalsTX$405Florida: median $564 across 20 hospitalsFL$564
Cash price by state, most expensive first. National median $463. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$879+90%$294 – $5,339
California CA77$773+67%$486 – $1,209
Massachusetts MA10$634+37%$309 – $865
Florida FL20$564+22%$191 – $625
Iowa IA17$530+15%$530 – $530
Ohio OH12$521+13%$296 – $951
Washington WA18$460−1%$400 – $1,284
Oregon OR18$432−7%$370 – $1,229
South Carolina SC12$432−7%$432 – $464
Texas TX55$405−12%$278 – $745
Virginia VA11$367−21%$343 – $367
New York NY30$314−32%$314 – $635
Illinois IL14$259−44%$161 – $727
Oklahoma OK12$226−51%$226 – $591
Pennsylvania PA14$53−88%$45 – $404
Colorado CO9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $463.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care384$432$263 – $773
Children’s29$1,131$436 – $1,444
Critical access63$462$246 – $743
Ownership
For-profit55$624$226 – $1,286
Government72$323$221 – $612
Non-profit349$508$278 – $773
System affiliation
Part of a system381$530$278 – $773
Independent95$343$204 – $803

Cash price vs list price

Median list price (chargemaster)$743
Median cash price$463
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

342 hospitals filed a usable inpatient cash price for this code. The median is $518 and the average of the middle 60% is $510; most fall between $248 and $773.

Cash price percentiles, inpatient, across 342 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$164$278$518$748$1,229

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($164 vs $1,229).

Of the 371 hospitals that filed this code inpatient, 342 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 20 a list price only.

How complete is this

476 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 516 hospitals that filed this code at all gave us
Usable cash price — counted476
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded25
Hospitals that filed this code516

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Traction, splints, and other wound care family.

Hospitals file this code under descriptions such as PR Apply Shoulder Cast,Spica.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Shoulder spica cast application (CPT 29055) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-29055-shoulder-spica-cast-application