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
SO CAP DESIGN WO JTS CF
Carmichael, CA
See all hospitals reporting HCPCS L3671 →Price type
Dignity Health’s median price of $151 is 85% below the median hospital's median price ($1.0k), higher than 1% of the 985 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, 36 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 | Kaiser commercial|all plans fee schedule · inpatient | $46 | $46 | — | — | — | $46 – $46 |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $46 | $46 | — | — | — | $46 – $46 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Molina medicaid|all plans fee schedule · inpatient | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Cigna commercial|localplus fee schedule · inpatient | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Kaiser medicaid|all plans fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 8 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $107 | $107 | — | — | — | $107 – $107 |
| 10 | Kaiser commercial|all plans fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Cigna commercial|localplus fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 12 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 14 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 15 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $131 | $131 | — | — | — | $131 – $131 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $151 | $151 | — | — | — | $151 – $151 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 19 | Anthem commercial|connection epo fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 20 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $165 | $165 | — | — | — | $165 – $165 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $165 | $165 | — | — | — | $165 – $165 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $167 | $167 | — | — | — | $167 – $167 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 24 | Aetna commercial|all other plans fee schedule · inpatient | $171 | $171 | — | — | — | $171 – $171 |
| 25 | Aetna commercial|hmo fee schedule · inpatient | $171 | $171 | — | — | — | $171 – $171 |
Last updated: Feb 28, 2026
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