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/jnt(s) CF
Tustin, CA
See all hospitals reporting HCPCS L3971 →Price type
Alta Newport Hospital, LLC’s median price of $2.0k is 7% below the median hospital's median price ($2.2k), higher than 12% of the 878 hospitals reporting HCPCS L3971. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $35.01 | $35.01 | $35.01 – $35.01 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $40.13 | $40.13 | $40.13 – $40.13 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $43.69 | $43.69 | $43.69 – $43.69 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $2,015 | $2,015 | $2,015 – $2,015 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $2,015 | $2,015 | $2,015 – $2,015 |
| 6 | Bcbs Ca medicare advantage facility · case rate · outpatient | $2,015 | $2,015 | $2,015 – $2,015 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $2,015 | $2,015 | $2,015 – $2,015 |
| 8 | Optum commercial hmo facility · case rate · outpatient | $2,015 | $2,015 | $2,015 – $2,015 |
| 9 | Optum medicare advantage facility · case rate · outpatient | $2,056 | $2,056 | $2,056 – $2,056 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $2,056 | $2,056 | $2,056 – $2,056 |
| 11 | Aetna exchange facility · case rate · outpatient | $2,620 | $2,620 | $2,620 – $2,620 |
| 12 | Aetna all gatekeeper plans facility · case rate · outpatient | $2,757 | $2,757 | $2,757 – $2,757 |
| 13 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $2,757 | $2,757 | $2,757 – $2,757 |
Last updated: Mar 18, 2026
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