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

Below-knee cast that rests on the kneecap tendon

CPT 29435the billing code this page is about

Application of a patellar tendon bearing cast, a below-knee cast shaped so body weight is carried on the tendon below the kneecap rather than the foot.

Hospitals typically charge $332 cash for this outpatient procedure — the median across 570 hospitals that filed a usable cash price; the average of the middle 60% is $350. Most fall between $179 and $590 (20th–80th percentile).

Hospitals
570
States
47
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 570 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
$118$204$332$500$890

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($118 vs $890).

How the prices are spread

$86 – $111: 19 hospitals$86$111 – $145: 33 hospitals$145 – $189: 43 hospitals$145$189 – $246: 50 hospitals$246 – $320: 99 hospitals$246$320 – $417: 94 hospitals$417 – $543: 70 hospitals$417$543 – $706: 38 hospitals$706 – $920: 51 hospitals$706$920 – $1,198: 19 hospitals$920median $332price bands are equal on a log scale
Hospitals per price band (516 of 570 — the bands cover the 5th to 95th percentile)
FromToHospitals
$86$11119
$111$14533
$145$18943
$189$24650
$246$32099
$320$41794
$417$54370
$543$70638
$706$92051
$920$1,19819

Against Medicare

Medicare pays (OPPS 2026, national rate)$286
Median cash price$332
Cash as a multiple of Medicare1.16×

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 $332.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $246 across 14 hospitalsWA$246Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $161 across 16 hospitalsIL$161Wisconsin: median $481 across 24 hospitalsWI$481Michigan: median $336 across 21 hospitalsMI$336New York: median $314 across 37 hospitalsNY$314Massachusetts: median $517 across 15 hospitalsMA$517Oregon: median $254 across 20 hospitalsOR$254Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $278 across 21 hospitalsIA$278Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $429 across 27 hospitalsOH$429Pennsylvania: median $311 across 22 hospitalsPA$311New Jersey: median $362 across 31 hospitalsNJ$362Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $675 across 56 hospitalsCA$675Utah: no hospital in the corpus filed a usable priceUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $322 across 12 hospitalsWV$322Virginia: median $367 across 16 hospitalsVA$367Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $121 across 13 hospitalsTN$121North Carolina: median $243 across 15 hospitalsNC$243South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $142 across 13 hospitalsOK$142Louisiana: median $203 across 12 hospitalsLA$203Mississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $420 across 40 hospitalsTX$420Florida: median $257 across 14 hospitalsFL$257
Cash price by state, most expensive first. National median $332. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA56$675+103%$499 – $890
Massachusetts MA15$517+56%$308 – $748
Wisconsin WI24$481+45%$399 – $590
Ohio OH27$429+29%$302 – $794
Texas TX40$420+27%$93 – $499
Virginia VA16$367+11%$343 – $367
New Jersey NJ31$362+9%$294 – $5,110
Michigan MI21$336+1%$258 – $389
West Virginia WV12$322−3%$315 – $454
New York NY37$314−5%$197 – $656
Pennsylvania PA22$311−6%$56 – $364
Iowa IA21$278−16%$241 – $278
Florida FL14$257−23%$247 – $850
Oregon OR20$254−24%$161 – $385
Washington WA14$246−26%$173 – $834
North Carolina NC15$243−27%$204 – $298
Louisiana LA12$203−39%$83 – $313
Illinois IL16$161−52%$148 – $376
Oklahoma OK13$142−57%$142 – $541
Tennessee TN13$121−64%$100 – $186
Colorado CO9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Wyoming WY2not 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 $332.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care421$343$179 – $625
Children’s37$500$250 – $1,192
Critical access112$259$151 – $444
Ownership
For-profit46$389$148 – $656
Government108$257$170 – $386
Non-profit416$360$188 – $675
System affiliation
Part of a system449$346$186 – $590
Independent121$272$171 – $555

Cash price vs list price

Median list price (chargemaster)$537
Median cash price$332
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

365 hospitals filed a usable inpatient cash price for this code. The median is $351 and the average of the middle 60% is $356; most fall between $161 and $590.

Cash price percentiles, inpatient, across 365 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
$121$199$351$546$857

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($121 vs $857).

Of the 397 hospitals that filed this code inpatient, 365 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

570 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 624 hospitals that filed this code at all gave us
Usable cash price — counted570
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded28
Hospitals that filed this code624

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 4, 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 Patella Tendon Bearing Cast.

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, “Below-knee cast that rests on the kneecap tendon (CPT 29435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-29435-below-knee-cast-that-rests-on-the-kneecap-tendon