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
Olney, IL
See all hospitals reporting HCPCS L3971 →Price type
Richland Memorial Hospital Inc’s median price of $1.0k is 53% below the median hospital's median price ($2.2k), higher than 4% 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: 9 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 | Aetna medicare advantage hmo percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 2 | Aetna medicare advantage ppo percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 4 | Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 6 | Humana medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 8 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 9 | WellCare medicare advantage hmo percent of total billed charges · outpatientfrom % of charges | $439.95 | $439.95 | $439.95 – $439.95 |
| 10 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $628.50 | $628.50 | $628.50 – $628.50 |
| 11 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $628.50 | $628.50 | $628.50 – $628.50 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $984.65 | $984.65 | $984.65 – $984.65 |
| 13 | Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges | $1,006 | $1,006 | $1,006 – $1,006 |
| 14 | Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges | $1,006 | $1,006 | $1,006 – $1,006 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1,467 | $1,467 | $1,467 – $1,467 |
| 16 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1,467 | $1,467 | $1,467 – $1,467 |
| 17 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1,601 | $1,601 | $1,601 – $1,601 |
| 18 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1,601 | $1,601 | $1,601 – $1,601 |
| 19 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1,747 | $1,747 | $1,747 – $1,747 |
| 20 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1,747 | $1,747 | $1,747 – $1,747 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1,781 | $1,781 | $1,781 – $1,781 |
| 22 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $1,823 | $1,823 | $1,823 – $1,823 |
Last updated: Apr 15, 2026
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