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
Portland, IN
See all hospitals reporting HCPCS L3971 →Price type
Indiana University Health Jay Inc.’s median price of $3.7k is 73% above the median hospital's median price ($2.2k), higher than 95% 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 | $3,088 | $3,088 | $3,088 – $3,088 |
| 5 | Aetna ppo - in preferred percent of total billed charges · outpatientfrom % of charges | $3,088 | $3,088 | $3,088 – $3,088 |
| 6 | Cigna ppo - new business percent of total billed charges · outpatientfrom % of charges | $3,093 | $3,093 | $3,093 – $3,093 |
| 7 | UnitedHealthcare all managed care percent of total billed charges · outpatientfrom % of charges | $3,784 | $3,784 | $3,784 – $3,784 |
| 8 | Aetna ppo - first health percent of total billed charges · outpatientfrom % of charges | $3,893 | $3,893 | $3,893 – $3,893 |
| 9 | Aetna ppo - nap percent of total billed charges · outpatientfrom % of charges | $3,893 | $3,893 | $3,893 – $3,893 |
| 10 | Aetna hmo - coventry plans percent of total billed charges · outpatientfrom % of charges | $4,042 | $4,042 | $4,042 – $4,042 |
| 11 | Aetna ppo/pos percent of total billed charges · outpatientfrom % of charges | $4,042 | $4,042 | $4,042 – $4,042 |
| 12 | MultiPlan ppo - phcs private healthcare plans percent of total billed charges · outpatientfrom % of charges | $4,533 | $4,533 | $4,533 – $4,533 |
| 13 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $4,714 | $4,714 | $4,714 – $4,714 |
| 14 | Cigna hmo - open access percent of total billed charges · outpatientfrom % of charges | $4,714 | $4,714 | $4,714 – $4,714 |
| 15 | Cigna hmo/pos - arnett hospital plans percent of total billed charges · outpatientfrom % of charges | $4,714 | $4,714 | $4,714 – $4,714 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $4,714 | $4,714 | $4,714 – $4,714 |
| 17 | Cigna ppo - drg plans percent of total billed charges · outpatientfrom % of charges | $4,714 | $4,714 | $4,714 – $4,714 |
| 18 | Cigna ppo - non-drg percent of total billed charges · outpatientfrom % of charges | $4,714 | $4,714 | $4,714 – $4,714 |
| 19 | MultiPlan ppo - multiplan plans percent of total billed charges · outpatientfrom % of charges | $4,800 | $4,800 | $4,800 – $4,800 |
Last updated: Mar 25, 2026
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