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 airplane w/o jnts CF
Chicago, IL
See all hospitals reporting HCPCS L3967 →Price type
Advocate Trinity Hospital’s median price of $4.2k is 84% above the median hospital's median price ($2.3k), higher than 95% of the 891 hospitals reporting HCPCS L3967. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 2 | Molina medicare advantage case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Oscar medicare advantage case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $7.0k | $7.0k | $275 | 4% | — | $6.8k – $7.3k |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
Last updated: Nov 4, 2025
See Custom shoulder-to-hand brace with abduction bar for positioning pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.