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

Rigid total contact leg cast

CPT 29445the billing code this page is about

Application of a rigid cast molded in full contact with the leg and foot, commonly used to take pressure off a foot wound.

Hospitals typically charge $419 cash for this outpatient procedure — the median across 2,195 hospitals that filed a usable cash price; the average of the middle 60% is $450. Most fall between $238 and $775 (20th–80th percentile).

Hospitals
2,195
States
50
Filings dated
Dec 2023 – 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 2,195 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
$159$266$419$695$1,123

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($159 vs $1,123).

How the prices are spread

$114 – $147: 88 hospitals$114$147 – $189: 106 hospitals$189 – $245: 163 hospitals$189$245 – $316: 294 hospitals$316 – $408: 311 hospitals$316$408 – $527: 276 hospitals$527 – $681: 265 hospitals$527$681 – $880: 244 hospitals$880 – $1,137: 122 hospitals$880$1,137 – $1,469: 108 hospitals$1,137median $419price bands are equal on a log scale
Hospitals per price band (1,977 of 2,195 — the bands cover the 5th to 95th percentile)
FromToHospitals
$114$14788
$147$189106
$189$245163
$245$316294
$316$408311
$408$527276
$527$681265
$681$880244
$880$1,137122
$1,137$1,469108

Against Medicare

Medicare pays (OPPS 2026, national rate)$286
Median cash price$419
Cash as a multiple of Medicare1.47×

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 $419.

Alaska: median $723 across 10 hospitalsAK$723Maine: median $297 across 13 hospitalsME$297Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $244 across 15 hospitalsNH$244Washington: median $344 across 50 hospitalsWA$344Idaho: median $611 across 16 hospitalsID$611Montana: median $275 across 13 hospitalsMT$275North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $313 across 56 hospitalsMN$313Illinois: median $515 across 92 hospitalsIL$515Wisconsin: median $425 across 84 hospitalsWI$425Michigan: median $277 across 81 hospitalsMI$277New York: median $592 across 75 hospitalsNY$592Massachusetts: median $514 across 34 hospitalsMA$514Oregon: median $284 across 38 hospitalsOR$284Nevada: median $452 across 12 hospitalsNV$452Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $657 across 13 hospitalsSD$657Iowa: median $372 across 58 hospitalsIA$372Indiana: median $644 across 59 hospitalsIN$644Ohio: median $555 across 122 hospitalsOH$555Pennsylvania: median $412 across 101 hospitalsPA$412New Jersey: median $358 across 52 hospitalsNJ$358Connecticut: median $443 across 18 hospitalsCT$443Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $656 across 118 hospitalsCA$656Utah: median $617 across 32 hospitalsUT$617Colorado: median $387 across 41 hospitalsCO$387Nebraska: median $315 across 34 hospitalsNE$315Missouri: median $362 across 63 hospitalsMO$362Kentucky: median $442 across 33 hospitalsKY$442West Virginia: median $325 across 28 hospitalsWV$325Virginia: median $412 across 53 hospitalsVA$412Maryland: median $423 across 20 hospitalsMD$423Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $356 across 25 hospitalsAZ$356New Mexico: median $288 across 15 hospitalsNM$288Kansas: median $239 across 44 hospitalsKS$239Arkansas: median $233 across 16 hospitalsAR$233Tennessee: median $138 across 53 hospitalsTN$138North Carolina: median $362 across 70 hospitalsNC$362South Carolina: median $712 across 34 hospitalsSC$712Oklahoma: median $386 across 42 hospitalsOK$386Louisiana: median $294 across 44 hospitalsLA$294Mississippi: median $242 across 43 hospitalsMS$242Alabama: median $367 across 30 hospitalsAL$367Georgia: median $946 across 75 hospitalsGA$946Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $427 across 148 hospitalsTX$427Florida: median $624 across 81 hospitalsFL$624
Cash price by state, most expensive first. National median $419. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA75$946+126%$304 – $1,451
Alaska AK10$723+72%$339 – $982
South Carolina SC34$712+70%$434 – $726
South Dakota SD13$657+57%$403 – $667
California CA118$656+56%$342 – $1,848
Indiana IN59$644+54%$274 – $929
Florida FL81$624+49%$257 – $870
Utah UT32$617+47%$609 – $784
Idaho ID16$611+46%$236 – $743
New York NY75$592+41%$273 – $893
Ohio OH122$555+32%$337 – $833
Illinois IL92$515+23%$225 – $851
Massachusetts MA34$514+22%$395 – $875
Nevada NV12$452+8%$304 – $589
Connecticut CT18$443+6%$356 – $977
Kentucky KY33$442+5%$166 – $782
Texas TX148$427+2%$194 – $606
Wisconsin WI84$425+1%$369 – $684
Maryland MD20$423+1%$273 – $873
Virginia VA53$412−2%$330 – $523
Pennsylvania PA101$412−2%$261 – $1,156
Colorado CO41$387−8%$258 – $543
Oklahoma OK42$386−8%$245 – $614
Iowa IA58$372−11%$246 – $623
Alabama AL30$367−12%$243 – $938
Missouri MO63$362−14%$239 – $638
North Carolina NC70$362−14%$212 – $713
New Jersey NJ52$358−15%$294 – $3,986
Arizona AZ25$356−15%$158 – $1,292
Washington WA50$344−18%$256 – $489
West Virginia WV28$325−22%$268 – $503
Nebraska NE34$315−25%$206 – $609
Minnesota MN56$313−25%$198 – $640
Maine ME13$297−29%$249 – $470
Louisiana LA44$294−30%$142 – $483
New Mexico NM15$288−31%$240 – $545
Oregon OR38$284−32%$226 – $698
Michigan MI81$277−34%$126 – $570
Montana MT13$275−34%$143 – $454
New Hampshire NH15$244−42%$113 – $463
Mississippi MS43$242−42%$185 – $401
Kansas KS44$239−43%$149 – $368
Arkansas AR16$233−44%$180 – $460
Tennessee TN53$138−67%$103 – $288
North Dakota ND9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Rhode Island RI5not 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 $419.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,713$441$253 – $807
Children’s31$555$286 – $1,337
Critical access443$356$192 – $638
Ownership
For-profit199$523$259 – $1,142
Government375$329$195 – $601
Non-profit1,613$440$248 – $791
System affiliation
Part of a system1,792$450$248 – $808
Independent403$325$192 – $599

Cash price vs list price

Median list price (chargemaster)$777
Median cash price$419
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

1,582 hospitals filed a usable inpatient cash price for this code. The median is $463 and the average of the middle 60% is $483; most fall between $244 and $797.

Cash price percentiles, inpatient, across 1,582 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
$165$275$463$723$1,144

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($165 vs $1,144).

Of the 1,694 hospitals that filed this code inpatient, 1,582 gave a usable cash price; 46 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 66 a list price only.

How complete is this

2,195 of the 3,956 hospitals with a price file in our corpus (55%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,349 hospitals that filed this code at all gave us
Usable cash price — counted2,195
Cash price carrying a plausibility flag — shown on the compare tool, excluded here75
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 — excluded79
Hospitals that filed this code2,349

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 Rigid Leg 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, “Rigid total contact leg cast (CPT 29445) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-29445-rigid-total-contact-leg-cast