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 airplane w/o jnts CF
Dubuque, IA
See all hospitals reporting HCPCS L3967 →Price type
The Finley Hospital’s median price of $2.2k is 2% below the median hospital's median price ($2.3k), higher than 42% of the 891 hospitals reporting HCPCS L3967. 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 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | UnitedHealthcare ppo fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Wellmark commercial fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Wellmark hmo fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Wellmark ppo fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Aetna hmo fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 7 | Aetna ppo fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 8 | Aetna medicare advantage case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 9 | Molina medicare advantage case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | Wellmark medicare advantage case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Humana medicare advantage case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 13 | Aetna hmo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | Aetna ppo fee schedule · both | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 15 | Cigna commercial fee schedule · both | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Jan 28, 2026
See Custom shoulder-to-hand brace with abduction bar for positioning pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.