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 Jnts Custom Fabricated Includes
PORTE, IN
See all hospitals reporting HCPCS L3971 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE’s median price of $2.9k is 33% above the median hospital's median price ($2.2k), higher than 83% 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: 4 payers, 7 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medicaid in mcd-nir-michigan city fee schedule · both | $2,065 | $2,065 | $2,065 – $2,065 |
| 2 | Medicaid in mdc mi city caresource 120% of in mcd fee schedule · both | $2,478 | $2,478 | $2,478 – $2,478 |
| 3 | UnitedHealthcare uhc all payer-nid-michigan city percent of total billed charges · bothfrom % of charges | $2,864 | $2,864 | $2,864 – $2,864 |
| 4 | UnitedHealthcare uhc options ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $2,864 | $2,864 | $2,864 – $2,864 |
| 5 | Aetna aetna-nir-michigan city percent of total billed charges · bothfrom % of charges | $4,295 | $4,295 | $4,295 – $4,295 |
| 6 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $4,324 | $4,324 | $4,324 – $4,324 |
| 7 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $4,532 | $4,532 | $4,532 – $4,532 |
Last updated: Jan 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.