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
Duluth, MN
See all hospitals reporting HCPCS L3971 →Price type
Aspirus St. Luke’s Hospital’s median price of $2.1k is 2% below the median hospital's median price ($2.2k), higher than 35% 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: 5 payers, 9 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 Mn blue cross minnesota commercial plans fee schedule · outpatient | $2,065 | $2,065 | $2,065 – $2,065 |
| 2 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $2,065 | $2,065 | $2,065 – $2,065 |
| 3 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $2,065 | $2,065 | $2,065 – $2,065 |
| 4 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $2,065 | $2,065 | $2,065 – $2,065 |
| 5 | Anthem anthem medicare advantage plans fee schedule · outpatient | $2,106 | $2,106 | $2,106 – $2,106 |
| 6 | Healthpartners healthpartners medicare advantage plans fee schedule · outpatient | $2,148 | $2,148 | $2,148 – $2,148 |
| 7 | Aetna medicare advantage esa fee schedule · outpatient | $2,169 | $2,169 | $2,169 – $2,169 |
| 8 | Humana humana medicare ppo/pos/hmo network plans fee schedule · outpatient | $2,211 | $2,211 | $2,211 – $2,211 |
| 9 | Anthem anthem blue commercial plans fee schedule · outpatient | $4,212 | $4,212 | $4,212 – $4,212 |
Last updated: Apr 1, 2026
See Custom shoulder-elbow-wrist-hand brace with shoulder cap pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.