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/o jnts CF
Dubuque, IA
See all hospitals reporting HCPCS L3961 →Price type
The Finley Hospital’s median price of $1.9k is 2% below the median hospital's median price ($1.9k), higher than 41% of the 900 hospitals reporting HCPCS L3961. 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 | $915 | $915 | — | — | — | $915 – $915 |
| 2 | UnitedHealthcare ppo fee schedule · both | $915 | $915 | — | — | — | $915 – $915 |
| 3 | Wellmark commercial fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Wellmark hmo fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Wellmark ppo fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Aetna hmo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Aetna ppo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | Aetna medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Molina medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | Wellmark medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Humana medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Aetna hmo fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | Aetna ppo fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Cigna commercial fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Jan 28, 2026
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