Cast supplies, short leg cast, adult (11 years +), fiberglass
Medicare pricing data for 6,233 providers across 50 states
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 cast, adult (11 years +), fiberglass (HCPCS code Q4038) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $46.71, but hospitals typically charge $111.47 — a 2.4x 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 $46.71, your out-of-pocket cost would be approximately $9.34. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $36.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maine | $48 | $135 | 11 | 46 | +3.2% |
| Montana | $48 | $86 | 28 | 108 | +3.2% |
| North Dakota | $48 | $103 | 5 | 25 | +3.2% |
| Massachusetts | $48 | $118 | 104 | 582 | +2.8% |
| Louisiana | $48 | $94 | 98 | 842 | +2.6% |
| New Jersey | $48 | $110 | 141 | 1,924 | +2.5% |
| South Dakota | $48 | $102 | 21 | 91 | +2.5% |
| Delaware | $48 | $139 | 14 | 67 | +2.4% |
| Kansas | $48 | $77 | 74 | 470 | +2.3% |
| Virginia | $48 | $89 | 180 | 1,171 | +2.3% |
| Minnesota | $48 | $137 | 101 | 360 | +2.1% |
| Puerto Rico | $48 | $73 | 6 | 14 | +2.0% |
| Maryland | $48 | $139 | 124 | 927 | +2.0% |
| Arizona | $47 | $136 | 144 | 1,536 | +1.6% |
| Illinois | $47 | $142 | 235 | 1,464 | +1.5% |
| Colorado | $47 | $135 | 141 | 1,144 | +1.4% |
| Pennsylvania | $47 | $97 | 182 | 1,227 | +1.3% |
| Florida | $47 | $128 | 354 | 2,253 | +1.3% |
| North Carolina | $47 | $115 | 278 | 1,491 | +1.2% |
| West Virginia | $47 | $109 | 19 | 117 | +1.1% |
| Mississippi | $47 | $118 | 113 | 1,043 | +1.0% |
| Alaska | $47 | $72 | 31 | 87 | +1.0% |
| Ohio | $47 | $90 | 224 | 1,344 | +0.9% |
| Rhode Island | $47 | $117 | 15 | 123 | +0.9% |
| Tennessee | $47 | $100 | 244 | 1,667 | +0.6% |
| Wisconsin | $47 | $125 | 125 | 518 | +0.3% |
| Washington | $47 | $145 | 144 | 1,203 | +0.3% |
| California | $47 | $107 | 596 | 4,521 | +0.2% |
| Connecticut | $47 | $118 | 81 | 471 | +0.1% |
| Hawaii | $47 | $140 | 8 | 53 | -0.4% |
| Oklahoma | $47 | $87 | 86 | 941 | -0.4% |
| Arkansas | $46 | $95 | 38 | 420 | -0.7% |
| Texas | $46 | $116 | 396 | 3,490 | -0.7% |
| Idaho | $46 | $102 | 25 | 97 | -0.8% |
| Wyoming | $46 | $82 | 19 | 172 | -0.9% |
| Iowa | $46 | $85 | 102 | 590 | -0.9% |
| Nebraska | $46 | $104 | 39 | 184 | -1.0% |
| Georgia | $46 | $170 | 223 | 1,250 | -1.0% |
| Kentucky | $46 | $105 | 128 | 719 | -1.0% |
| Missouri | $46 | $228 | 109 | 923 | -1.0% |
| Michigan | $46 | $74 | 222 | 1,308 | -1.7% |
| Nevada | $46 | $102 | 57 | 239 | -2.0% |
| Alabama | $46 | $59 | 95 | 821 | -2.3% |
| Oregon | $45 | $90 | 119 | 889 | -2.6% |
| Indiana | $45 | $85 | 170 | 867 | -3.2% |
| New Hampshire | $45 | $70 | 62 | 502 | -4.2% |
| New York | $45 | $79 | 264 | 1,137 | -4.3% |
| Utah | $44 | $89 | 66 | 368 | -5.6% |
| New Mexico | $44 | $79 | 46 | 254 | -6.8% |
| South Carolina | $43 | $78 | 110 | 790 | -7.2% |
⚠️ 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