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
Cypress, TX
See all hospitals reporting HCPCS L3971 →Price type
Houston Methodist Cypress Hospital’s median price of $2.2k is 3% above the median hospital's median price ($2.2k), higher than 61% 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: 7 payers, 8 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 | Blue Cross Blue Shield medicare managed care - hmo fee schedule · outpatient | $2,117 | $2,117 | $2,117 – $2,117 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $2,149 | $2,149 | $2,149 – $2,149 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $2,160 | $2,160 | $2,160 – $2,160 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $2,181 | $2,181 | $2,181 – $2,181 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $2,223 | $2,223 | $2,223 – $2,223 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $2,265 | $2,265 | $2,265 – $2,265 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $4,129 | $4,129 | $4,129 – $4,129 |
| 8 | Molina exchange fee schedule · outpatient | $4,234 | $4,234 | $4,234 – $4,234 |
Last updated: Apr 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.