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
HB OT-CF-FO-W/JT-LBR/SPLY
Longmont, CO
See all hospitals reporting HCPCS L3935 →Price type
Longs Peak Hospital’s median price of $250 is about the same as the median hospital's median price ($252), higher than 47% of the 1,108 hospitals reporting HCPCS L3935. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 22 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 | Anthem commercial percent of total billed charges · inpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 2 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $216 | $222 | $40 | 18% | — | $170 – $292 |
| 3 | Aetna medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 4 | Anthem medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 5 | Cigna medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 6 | Devoted medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 7 | Humana medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 8 | Kaiser medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 9 | UnitedHealthcare medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 10 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $250 | $250 | — | — | — | $250 – $250 |
| 11 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $261 | $261 | $46 | 18% | — | $215 – $307 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 13 | UnitedHealthcare select rates percent of total billed charges · outpatientfrom % of charges | $298 | $298 | — | — | — | $298 – $298 |
| 14 | Cigna colorado rockies percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 15 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $347 | $347 | — | — | — | $347 – $347 |
| 16 | UnitedHealthcare broad networks percent of total billed charges · outpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 17 | Cigna local plus/surefit/connect percent of total billed charges · outpatientfrom % of charges | $391 | $391 | — | — | — | $391 – $391 |
| 18 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $399 | $399 | — | — | — | $399 – $399 |
| 19 | Phcs commercial percent of total billed charges · outpatientfrom % of charges | $405 | $405 | — | — | — | $405 – $405 |
| 20 | Cigna broad networks percent of total billed charges · outpatientfrom % of charges | $410 | $410 | — | — | — | $410 – $410 |
| 21 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $521 | $521 | — | — | — | $521 – $521 |
| 22 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $521 | $521 | — | — | — | $521 – $521 |
Last updated: Nov 1, 2025
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