How much does Medicare pay for HCPCS Q4014?

Medicare allowed an average of $31.42 per service and paid $24.61 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $69.49, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code Q4014?

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass. It was billed 1,013 times to 801 Medicare beneficiaries by 46 providers in 2024.

Which specialty bills Q4014 most?

Hand Surgery, with 545 services from 22 clinicians. Next are Orthopedic Surgery, Physician Assistant, Plastic and Reconstructive Surgery.

HCPCS Q4014

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

$31.42Medicare-allowed amount per service, averaged across 1,013 services

Providers submitted

$69.49

Asking price, not received

Medicare allowed

$31.42

The fee schedule figure

Medicare paid

$24.61

Balance is patient coinsurance

Providers submitted an average of $69.49 for this code and Medicare allowed $31.42 — 2.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $24.61 (78%); the rest is the patient’s coinsurance and deductible.

Services: 1,013
Beneficiaries: 801
Providers billing it: 46
Total allowed: $31,828

What Medicare pays for HCPCS Q4014

Across 1,013 services billed by 46 providers to 801 beneficiaries, Medicare allowed an average of $31.42 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills Q4014

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hand Surgery	545	405	$31.35	22
Orthopedic Surgery	209	168	$31.89	9
Physician Assistant	195	181	$31.25	12
Plastic and Reconstructive Surgery	31	21	$30.07	1
Nurse Practitioner	18	13	$31.88	1
Occupational Therapist in Private Practice	15	13	$31.88	1

Q4014 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	235	$31.64	$25.35	7
Oklahoma	105	$31.74	$25.36	3
Arizona	101	$31.89	$24.90	5
Tennessee	71	$31.52	$24.42	4
South Carolina	67	$31.90	$24.64	2
Massachusetts	66	$31.88	$25.40	2
Georgia	58	$31.89	$24.79	3
Idaho	56	$30.98	$25.63	3
Nevada	41	$28.56	$24.23	2
Colorado	29	$29.21	$25.62	2
Texas	28	$29.93	$24.72	2
Indiana	19	$31.88	$25.40	1
Michigan	17	$31.91	$23.91	1
Louisiana	16	$31.88	$25.40	1
Wisconsin	15	$31.88	$25.40	1
New Jersey	14	$30.21	$25.85	1
Maryland	14	$29.60	$25.85	1
Florida	13	$31.88	$25.40	1
North Carolina	13	$31.92	$23.45	1
Connecticut	12	$31.88	$25.40	1
Oregon	12	$31.94	$22.46	1
Alabama	11	$31.93	$22.73	1

Related codes

Q4010Cast supplies$23.01
Q4038Cast supplies$47.92
Q4022Cast supplies$14.44
Q4037Cast supplies$19.43
Q4049Finger splint$2.51
Q4046Cast supplies$21.80
Q4021Cast supplies$8.05

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.