CPT 29405 Surgery - Musculoskeletal

How Much Does Appl Short Leg Cast Cost?

Also known as: Appl short leg cast (CPT 29405)

Application of a short leg cast from your knee to your toes.

The total estimated cost of Appl Short Leg Cast (CPT 29405) is $187 to $351, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $56.

Total Estimated Cost of Care

$187 — $351

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$56
Hospital Facility Fee
$167
Anesthesia (est.)
$11
Important: The physician fee of $56 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$56
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$88
Non-facility setting

Patient Guide: Appl Short Leg Cast

What you need to know before your appointment

What to Expect

Your lower leg, ankle, and foot will be wrapped in padding and cast material. The cast extends from just below the knee to the toes.

How Long Does It Take?

20-30 minutes

Common Reasons Doctors Order This

Ankle fracture, foot fracture, severe ankle sprain, post-surgical immobilization

How to Prepare

Wear loose shorts or pants. Remove shoes and socks from the affected foot. Bring crutches or arrange for help walking.

Procedures Commonly Done Together

These procedures are frequently performed alongside Appl short leg cast

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How to Reduce Your Cost for Appl short leg cast

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($88) differs from the facility rate ($56). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.78
Work RVU
0.76
Practice Expense RVU
0.13
Malpractice RVU
2.63
Total RVU

Payment = Total RVU (2.63) x CF ($33.40) = $88

Frequently Asked Questions

How much does Appl short leg cast cost?

The Medicare facility rate for Appl short leg cast is $56. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Appl short leg cast cost without insurance?

Without insurance, the cost of Appl short leg cast can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Appl short leg cast?

Most commercial health insurance plans and Medicare cover Appl short leg cast when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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