Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Sewho cap design w/o jnts cf
Low
$401
Average
$3.2k
Median
$2.0k
High
$14.1k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 17.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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49 hospital rates
iThe hospitals that file a MultiPlan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 5 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | DIGNITY HEALTH Red Bluff, CA fee schedule · inpatient | 1 | $401 | $401 | $53 | 13% | — | $348 – $455 |
| 11 | DIGNITY HEALTH Red Bluff, CA fee schedule · outpatient | 1 | $401 | $401 | $53 | 13% | — | $348 – $455 |
| 12 | DIGNITY HEALTH Redding, CA fee schedule · inpatient | 1 | $401 | $401 | $53 | 13% | — | $348 – $455 |
| 13 | DIGNITY HEALTH Redding, CA fee schedule · outpatient | 1 | $401 | $401 | $53 | 13% | — | $348 – $455 |
| 14 | DIGNITY HEALTH Mt Shasta, CA fee schedule · inpatient | 1 | $488 | $488 | $65 | 13% | — | $423 – $553 |
| 15 | DIGNITY HEALTH Mt Shasta, CA fee schedule · outpatient | 1 | $488 | $488 | $65 | 13% | — | $423 – $553 |
| 16 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 19 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $492 | $492 | — | — | — | $492 – $492 |
| 20 | HealthAlliance Hospital Kingston, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $492 | $492 | — | — | — | $492 – $492 |
| 21 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 22 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 23 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 24 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 25 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
← Payers reporting HCPCS L3961 · Snapshot 20261112T181611Z-3fa9fb76