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
St. Paul, MN
See all hospitals reporting HCPCS L3971 →Price type
Fairview Bethesda Hospital’s median price of $2.2k is about the same as the median hospital's median price ($2.2k), higher than 55% 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, 23 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 aware federal fee schedule · both | $1,916 | $1,916 | $1,916 – $1,916 |
| 2 | Bcbs Mn commercial fee schedule · both | $1,950 | $1,950 | $1,950 – $1,950 |
| 3 | Medica minnesota care/accessability/choice care government fee schedule · both | $2,016 | $2,016 | $2,016 – $2,016 |
| 4 | Sanford Health Plan medicare advantage fee schedule · outpatient | $2,032 | $2,032 | $2,032 – $2,032 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $2,032 | $2,032 | $2,032 – $2,032 |
| 6 | WellCare medicare advantage fee schedule · outpatient | $2,032 | $2,032 | $2,032 – $2,032 |
| 7 | Ucare medicare advantage/msho fee schedule · outpatient | $2,062 | $2,062 | $2,062 – $2,062 |
| 8 | Bcbs Mn medicare advantage fee schedule · outpatient | $2,113 | $2,113 | $2,113 – $2,113 |
| 9 | Medica medicare advantage fee schedule · outpatient | $2,154 | $2,154 | $2,154 – $2,154 |
| 10 | Ucare pmap fee schedule · outpatient | $2,172 | $2,172 | $2,172 – $2,172 |
| 11 | Medica medicare advantage fee schedule · both | $2,189 | $2,189 | $2,189 – $2,189 |
| 12 | Bcbs Mn managed medicaid fee schedule · both | $2,196 | $2,196 | $2,196 – $2,196 |
| 13 | Medica msho fee schedule · both | $2,230 | $2,230 | $2,230 – $2,230 |
| 14 | Ucare pmap fee schedule · both | $2,249 | $2,249 | $2,249 – $2,249 |
| 15 | Ucare individual and family with m health fairview fee schedule · outpatient | $3,574 | $3,574 | $3,574 – $3,574 |
| 16 | Medica bold fee schedule · both | $3,802 | $3,802 | $3,802 – $3,802 |
| 17 | UnitedHealthcare commercial fee schedule · both | $3,833 | $3,833 | $3,833 – $3,833 |
| 18 | UnitedHealthcare core fee schedule · both | $3,833 | $3,833 | $3,833 – $3,833 |
| 19 | Medica vantage si fee schedule · both | $4,119 | $4,119 | $4,119 – $4,119 |
| 20 | Medica city of st paul and essential/uplan fee schedule · both | $4,224 | $4,224 | $4,224 – $4,224 |
| 21 | Medica individual and family, elect fee schedule · both | $4,224 | $4,224 | $4,224 – $4,224 |
| 22 | Medica choice fee schedule · both | $4,371 | $4,371 | $4,371 – $4,371 |
| 23 | Ucare individual and family fee schedule · outpatient | $4,669 | $4,669 | $4,669 – $4,669 |
Last updated: Jan 29, 2026
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