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
INSJ/RPLC CAR MODULJ PLS GN
Tustin, CA
See all hospitals reporting CPT 0409T →Price type
Alta Newport Hospital, LLC’s median price of $22.4k is about the same as the median hospital's median price ($22.5k), higher than 48% of the 1,319 hospitals reporting CPT 0409T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 Ca covered california/ifp/ppo facility · fee schedule · outpatient | $497.20 | $497.20 | $497.20 – $497.20 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $569.80 | $569.80 | $569.80 – $569.80 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $620.40 | $620.40 | $620.40 – $620.40 |
| 4 | Aetna all gatekeeper plans facility · case rate · outpatient | $11,356 | $11,356 | $11,356 – $11,356 |
| 5 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $11,671 | $11,671 | $11,671 – $11,671 |
| 6 | UnitedHealthcare managed care facility · case rate · outpatient | $21,140 | $21,140 | $21,140 – $21,140 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $22,446 | $22,446 | $22,446 – $22,446 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $22,446 | $22,446 | $22,446 – $22,446 |
| 9 | Bcbs Ca medicare advantage facility · case rate · outpatient | $22,446 | $22,446 | $22,446 – $22,446 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $22,446 | $22,446 | $22,446 – $22,446 |
| 11 | Optum commercial hmo facility · case rate · outpatient | $22,446 | $22,446 | $22,446 – $22,446 |
| 12 | Optum medicare advantage facility · case rate · outpatient | $22,895 | $22,895 | $22,895 – $22,895 |
| 13 | WellCare medicare advantage facility · case rate · outpatient | $22,895 | $22,895 | $22,895 – $22,895 |
| 14 | Aetna exchange facility · case rate · outpatient | $29,180 | $29,180 | $29,180 – $29,180 |
| 15 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $57,879 | $57,879 | $57,879 – $57,879 |
| 16 | Anthem ppg facility · case rate · outpatient | $72,351 | $72,351 | $72,351 – $72,351 |
Last updated: Mar 18, 2026
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