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
Cedar Rapids, IA
See all hospitals reporting HCPCS L3971 →Price type
St Luke's Methodist Hospital’s median price of $2.2k is about the same as the median hospital's median price ($2.2k), higher than 49% 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: 6 payers, 17 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 | UnitedHealthcare hmo fee schedule · both | $1,025 | $1,025 | $1,025 – $1,025 |
| 2 | UnitedHealthcare ppo fee schedule · both | $1,025 | $1,025 | $1,025 – $1,025 |
| 3 | Wellmark commercial fee schedule · both | $1,952 | $1,952 | $1,952 – $1,952 |
| 4 | Wellmark hmo fee schedule · both | $1,952 | $1,952 | $1,952 – $1,952 |
| 5 | Wellmark ppo fee schedule · both | $1,952 | $1,952 | $1,952 – $1,952 |
| 6 | Aetna medicare advantage case rate · outpatient | $2,096 | $2,096 | $2,096 – $2,096 |
| 7 | Molina medicare advantage case rate · outpatient | $2,096 | $2,096 | $2,096 – $2,096 |
| 8 | Wellmark medicare advantage case rate · outpatient | $2,096 | $2,096 | $2,096 – $2,096 |
| 9 | Humana medicare advantage case rate · outpatient | $2,157 | $2,157 | $2,157 – $2,157 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $2,157 | $2,157 | $2,157 – $2,157 |
| 11 | Aetna hmo fee schedule · both | $2,297 | $2,297 | $2,297 – $2,297 |
| 12 | Aetna ppo fee schedule · both | $2,297 | $2,297 | $2,297 – $2,297 |
| 13 | Cigna commercial fee schedule · both | $2,608 | $2,608 | $2,608 – $2,608 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $2,951 | $2,951 | $2,951 – $2,951 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $2,951 | $2,951 | $2,951 – $2,951 |
| 16 | Aetna hmo fee schedule · outpatient | $3,801 | $3,801 | $3,801 – $3,801 |
| 17 | Aetna ppo fee schedule · outpatient | $3,801 | $3,801 | $3,801 – $3,801 |
Last updated: Jan 28, 2026
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