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
PR SEWHO CAP DESIGN W/JNT(S) CF
West Valley City, UT
See all hospitals reporting HCPCS L3971 →Price type
Catholic Health Initiatives Colorado’s median price of $2.0k is 5% below the median hospital's median price ($2.2k), higher than 17% 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: 3 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 | Molina managed medicaid fee schedule · outpatient | $1,774 | $1,774 | $1,774 – $1,774 |
| 2 | Humana managed medicare fee schedule · outpatient | $2,046 | $2,046 | $2,046 – $2,046 |
| 3 | Medicare managed medicare fee schedule · outpatient | $2,046 | $2,046 | $2,046 – $2,046 |
| 4 | Medicare medicare fee schedule · outpatient | $2,046 | $2,046 | $2,046 – $2,046 |
| 5 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $4,255 | $4,255 | $4,255 – $4,255 |
Last updated: Feb 11, 2026
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