CPT 29305: Hip Spica Body Cast for Trunk and One Leg
Medicare pays $294 and commercial payers pay $399 on average nationally for this procedure.
CPT code 29305 describes application of a body cast encasing the trunk and one leg down to the ankle or foot (hip spica cast) used to immobilize the hip and thigh to aid healing of hip or proximal femoral/tibial injuries; service type: cast application/immobilization; typical site of service: hospital inpatient or outpatient orthopedic procedure area, ambulatory surgery center, or emergency department depending on clinical setting.
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National Reimbursement Benchmarks
Commercial averages sit above Medicare for CPT 29305: Blue Cross Blue Shield's mean ($487.10) and BUCA's mean ($398.90) are both higher than Medicare's mean ($294.20). UnitedHealth Group ($369.80) and Cigna ($337.40) also exceed Medicare, while Aetna's mean ($136.70) falls much lower. This positions Medicare nearer to the mid-to-lower end of national means, with BUCA representing a high-average commercial benchmark relative to Medicare.
Dispersion varies materially by payer. Blue Cross Blue Shield has the widest interquartile spread at $258.10 (P75 $597.60 minus P25 $381.50), followed by BUCA at $211.10 (P75 $499.20 minus P25 $288.10) and UnitedHealth Group at $233.90 (P75 $466.80 minus P25 $232.90). Aetna shows one of the tightest spreads at $174.00 (P75 $215.80 minus P25 $42.00), and Cigna's spread is $166.40 (P75 $421.90 minus P25 $215.50). Medicare's interquartile range is narrow at $32.00 (P75 $306 minus P25 $274), indicating the least variability among the listed payers.