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
HCHG CSTM L3671 SO CAP DESIGN W/O JNTS CF
Ulm, MN
See all hospitals reporting HCPCS L3671 →Price type
Allina Health Systems’s median price of $1.0k is 2% below the median hospital's median price ($1.0k), higher than 40% of the 991 hospitals reporting HCPCS L3671. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $255 | $255 | $212 | 83% | — | $43 – $466 |
| 2 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $402 | $402 | $334 | 83% | — | $68 – $737 |
| 3 | Medicaid medicaid ma (n) facility · other · outpatient | $554 | $554 | $460 | 83% | — | $94 – $1.0k |
| 4 | Medica medica medicare (r) facility · fee schedule · outpatient | $562 | $562 | $467 | 83% | — | $95 – $1.0k |
| 5 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $570 | $570 | $473 | 83% | — | $96 – $1.0k |
| 6 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $571 | $571 | $371 | 65% | — | $200 – $942 |
| 7 | Bcbs Mn bc pmap (n) facility · other · outpatient | $587 | $587 | — | — | — | $587 – $587 |
| 8 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $588 | $588 | $489 | 83% | — | $99 – $1.1k |
| 9 | Medicare medicare (n) facility · fee schedule · outpatient | $601 | $601 | $391 | 65% | — | $210 – $992 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $775 | $775 | $644 | 83% | — | $131 – $1.4k |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $783 | $783 | $651 | 83% | — | $132 – $1.4k |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $838 | $838 | $696 | 83% | — | $142 – $1.5k |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $846 | $846 | $703 | 83% | — | $143 – $1.5k |
| 14 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $841 | 83% | — | $171 – $1.9k |
| 15 | Cigna hpi cigna (n) facility · other · outpatient | $1.0k | $1.0k | $860 | 83% | — | $175 – $1.9k |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | $883 | 83% | — | $180 – $1.9k |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $883 | 83% | — | $180 – $1.9k |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $883 | 83% | — | $180 – $1.9k |
| 19 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | $889 | 83% | — | $181 – $2.0k |
| 20 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $898 | 83% | — | $183 – $2.0k |
| 21 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Bcbs Mn bc premier(n) facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 24 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Jun 16, 2026
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