Cast supplies, short leg splint, adult (11 years +), fiberglass
Medicare pricing data for 3,337 providers across 46 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Cast supplies, short leg splint, adult (11 years +), fiberglass (HCPCS code Q4046) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.35, but hospitals typically charge $55.25 — a 2.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.35, your out-of-pocket cost would be approximately $4.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $16.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Minnesota | $22 | $49 | 48 | 72 | +2.4% |
| Wisconsin | $22 | $71 | 56 | 86 | +2.4% |
| Kansas | $22 | $46 | 34 | 62 | +2.3% |
| West Virginia | $22 | $43 | 16 | 19 | +2.3% |
| Connecticut | $22 | $53 | 34 | 57 | +2.3% |
| Massachusetts | $22 | $122 | 55 | 171 | +2.3% |
| Wyoming | $22 | $54 | 12 | 24 | +2.3% |
| Maryland | $22 | $54 | 104 | 241 | +2.2% |
| North Carolina | $22 | $63 | 136 | 209 | +2.2% |
| Rhode Island | $22 | $60 | 14 | 61 | +2.2% |
| Illinois | $22 | $71 | 156 | 387 | +2.1% |
| South Dakota | $22 | $38 | 13 | 59 | +2.1% |
| New Jersey | $22 | $49 | 53 | 106 | +1.9% |
| New Hampshire | $22 | $60 | 33 | 62 | +1.8% |
| Louisiana | $22 | $64 | 52 | 134 | +1.7% |
| Kentucky | $22 | $49 | 46 | 130 | +1.5% |
| Texas | $22 | $43 | 202 | 584 | +1.4% |
| Michigan | $22 | $60 | 71 | 152 | +1.3% |
| Georgia | $22 | $73 | 111 | 242 | +1.3% |
| Iowa | $22 | $46 | 39 | 79 | +1.3% |
| Ohio | $22 | $65 | 67 | 167 | +1.0% |
| Alaska | $22 | $29 | 23 | 63 | +0.9% |
| Colorado | $22 | $83 | 69 | 142 | +0.9% |
| Tennessee | $22 | $58 | 131 | 404 | +0.8% |
| Oklahoma | $21 | $57 | 70 | 296 | +0.4% |
| Nebraska | $21 | $47 | 22 | 55 | +0.2% |
| New York | $21 | $42 | 98 | 174 | +0.2% |
| Florida | $21 | $51 | 203 | 535 | +0.1% |
| Virginia | $21 | $37 | 109 | 244 | +0.1% |
| North Dakota | $21 | $47 | 5 | 78 | +0.1% |
| Mississippi | $21 | $57 | 65 | 205 | -0.2% |
| Arizona | $21 | $61 | 80 | 215 | -0.2% |
| California | $21 | $54 | 397 | 858 | -0.2% |
| Nevada | $21 | $71 | 30 | 76 | -0.3% |
| Oregon | $21 | $41 | 85 | 158 | -0.5% |
| Missouri | $21 | $54 | 45 | 70 | -0.7% |
| Washington | $21 | $66 | 87 | 142 | -0.8% |
| Hawaii | $21 | $91 | 13 | 24 | -1.1% |
| Alabama | $21 | $35 | 43 | 110 | -1.2% |
| Arkansas | $21 | $33 | 27 | 62 | -2.7% |
| South Carolina | $21 | $47 | 85 | 167 | -3.7% |
| Indiana | $20 | $53 | 81 | 168 | -4.5% |
| Montana | $20 | $45 | 9 | 17 | -6.7% |
| Pennsylvania | $20 | $39 | 115 | 239 | -7.7% |
| Utah | $20 | $63 | 48 | 77 | -8.7% |
| New Mexico | $19 | $26 | 28 | 141 | -10.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber