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
Bloomington, IN
See all hospitals reporting HCPCS L3971 →Price type
Indiana University Health Bloomington Inc.’s median price of $3.7k is 73% above the median hospital's median price ($2.2k), higher than 94% 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: 5 payers, 19 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 | Caresource all government medicaid hip fee schedule · outpatient | $2,065 | $2,065 | $2,065 – $2,065 |
| 2 | Caresource all managed medicaid fee schedule · outpatient | $2,065 | $2,065 | $2,065 – $2,065 |
| 3 | UnitedHealthcare all managed medicaid fee schedule · outpatient | $2,065 | $2,065 | $2,065 – $2,065 |
| 4 | Aetna pos - cox medical plans percent of total billed charges · outpatientfrom % of charges | $3,408 | $3,408 | $3,408 – $3,408 |
| 5 | Aetna ppo - in preferred percent of total billed charges · outpatientfrom % of charges | $3,408 | $3,408 | $3,408 – $3,408 |
| 6 | Cigna ppo - new business percent of total billed charges · outpatientfrom % of charges | $3,413 | $3,413 | $3,413 – $3,413 |
| 7 | UnitedHealthcare all managed care percent of total billed charges · outpatientfrom % of charges | $3,519 | $3,519 | $3,519 – $3,519 |
| 8 | Aetna hmo - coventry plans percent of total billed charges · outpatientfrom % of charges | $3,904 | $3,904 | $3,904 – $3,904 |
| 9 | Aetna ppo/pos percent of total billed charges · outpatientfrom % of charges | $3,904 | $3,904 | $3,904 – $3,904 |
| 10 | MultiPlan ppo - phcs private healthcare plans percent of total billed charges · outpatientfrom % of charges | $4,533 | $4,533 | $4,533 – $4,533 |
| 11 | MultiPlan ppo - multiplan plans percent of total billed charges · outpatientfrom % of charges | $4,800 | $4,800 | $4,800 – $4,800 |
| 12 | Aetna ppo - first health percent of total billed charges · outpatientfrom % of charges | $4,810 | $4,810 | $4,810 – $4,810 |
| 13 | Aetna ppo - nap percent of total billed charges · outpatientfrom % of charges | $4,810 | $4,810 | $4,810 – $4,810 |
| 14 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $5,013 | $5,013 | $5,013 – $5,013 |
| 15 | Cigna hmo - open access percent of total billed charges · outpatientfrom % of charges | $5,013 | $5,013 | $5,013 – $5,013 |
| 16 | Cigna hmo/pos - arnett hospital plans percent of total billed charges · outpatientfrom % of charges | $5,013 | $5,013 | $5,013 – $5,013 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $5,013 | $5,013 | $5,013 – $5,013 |
| 18 | Cigna ppo - drg plans percent of total billed charges · outpatientfrom % of charges | $5,013 | $5,013 | $5,013 – $5,013 |
| 19 | Cigna ppo - non-drg percent of total billed charges · outpatientfrom % of charges | $5,013 | $5,013 | $5,013 – $5,013 |
Last updated: Mar 25, 2026
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