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
HC INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY
Temple, TX
See all hospitals reporting CPT 0409T →Price type
Baylor Scott & White McLane Children's Medical Center’s median price of $22.9k is 2% above the median hospital's median price ($22.5k), higher than 55% 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: 8 payers, 22 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4,917 | $4,917 | $4,917 – $4,917 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $5,262 | $5,262 | $5,262 – $5,262 |
| 3 | Cigna local plus facility · case rate · outpatient | $5,388 | $5,388 | $5,388 – $5,388 |
| 4 | Cigna hmo/ppo facility · case rate · outpatient | $6,339 | $6,339 | $6,339 – $6,339 |
| 5 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $12,930 | $12,930 | $12,930 – $12,930 |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $15,211 | $15,211 | $15,211 – $15,211 |
| 7 | Humana commercial hmo facility · case rate · outpatient | $15,811 | $15,811 | $15,811 – $15,811 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $18,031 | $18,031 | $18,031 – $18,031 |
| 9 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $21,228 | $21,228 | $21,228 – $21,228 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $22,948 | $22,948 | $22,948 – $22,948 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $22,948 | $22,948 | $22,948 – $22,948 |
| 12 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $22,948 | $22,948 | $22,948 – $22,948 |
| 13 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $23,462 | $23,462 | $23,462 – $23,462 |
| 14 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $25,026 | $25,026 | $25,026 – $25,026 |
| 15 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $26,814 | $26,814 | $26,814 – $26,814 |
| 16 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $28,043 | $28,043 | $28,043 – $28,043 |
| 17 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · case rate · outpatient | $35,659 | $35,659 | $35,659 – $35,659 |
| 18 | Blue Cross Blue Shield blue advantage facility · case rate · outpatient | $36,114 | $36,114 | $36,114 – $36,114 |
| 19 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $36,869 | $36,869 | $36,869 – $36,869 |
| 20 | Blue Cross Blue Shield blue essentials (hmo) facility · case rate · outpatient | $41,337 | $41,337 | $41,337 – $41,337 |
| 21 | Blue Cross Blue Shield bluechoice (ppo) facility · case rate · outpatient | $43,609 | $43,609 | $43,609 – $43,609 |
| 22 | UnitedHealthcare commercial facility · case rate · outpatient | $61,520 | $61,520 | $61,520 – $61,520 |
Last updated: Jun 13, 2026
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