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 w/o jnts CF
Edina, MN
See all hospitals reporting HCPCS L3671 →Price type
Fairview Health Services’s median price of $1.1k is 5% above the median hospital's median price ($1.0k), higher than 72% of the 991 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: 6 payers, 33 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 pmap fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 2 | Bcbs Mn aware federal fee schedule · both | $917 | $917 | — | — | — | $917 – $917 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $933 | $933 | — | — | — | $933 – $933 |
| 4 | Medica managed medicaid/accessability fee schedule · both | $965 | $965 | — | — | — | $965 – $965 |
| 5 | Sanford Health Plan medicare advantage fee schedule · outpatient | $972 | $972 | — | — | — | $972 – $972 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $972 | $972 | — | — | — | $972 – $972 |
| 7 | WellCare medicare advantage fee schedule · outpatient | $972 | $972 | — | — | — | $972 – $972 |
| 8 | Ucare medicare advantage/msho fee schedule · outpatient | $987 | $987 | — | — | — | $987 – $987 |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Medica medicare advantage non-snp fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Ucare pmap fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Medica medicare advantage non-snp fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Bcbs Mn pmap fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Bcbs Mn aware federal fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Bcbs Mn aware/blue plus fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Ucare pmap fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Medica msho/medicare advantage snp fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Ucare individual and family with m health fairview fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 21 | Medica bold fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | UnitedHealthcare commercial fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | UnitedHealthcare core fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | Medica vantage self insured fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 25 | Medica city of st. paul/essential-uplan fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Feb 6, 2026
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