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
Worthington, MN
See all hospitals reporting HCPCS L3971 →Price type
Sanford Worthington Medical Center’s median price of $2.5k is 17% above the median hospital's median price ($2.2k), higher than 78% 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, 7 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 | Bcbs Mn commercial/federal fee schedule · outpatient | $1,916 | $1,916 | $1,916 – $1,916 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $1,916 | $1,916 | $1,916 – $1,916 |
| 3 | Sanford Health Plan medicare replacement case rate · outpatient | $2,336 | $2,336 | $2,336 – $2,336 |
| 4 | Ucare medicare replacement case rate · outpatient | $2,508 | $2,508 | $2,508 – $2,508 |
| 5 | Aetna medicare replacement case rate · outpatient | $2,533 | $2,533 | $2,533 – $2,533 |
| 6 | Bcbs Mn medicare replacement case rate · outpatient | $2,533 | $2,533 | $2,533 – $2,533 |
| 7 | UnitedHealthcare medicare replacement case rate · outpatient | $2,533 | $2,533 | $2,533 – $2,533 |
Last updated: Mar 4, 2026
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