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 CAR MODULJ SYS PLS GEN TRANSVNS ELTRD
Grapevine, TX
See all hospitals reporting CPT 0408T →Price type
Baylor Scott & White Medical Center - Grapevine’s median price of $41.8k is 33% above the median hospital's median price ($31.5k), higher than 82% of the 1,518 hospitals reporting CPT 0408T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 29 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 | Cigna local plus facility · case rate · outpatient | $7,038 | $7,038 | $7,038 – $7,038 |
| 2 | Cigna hmo/ppo facility · case rate · outpatient | $8,280 | $8,280 | $8,280 – $8,280 |
| 3 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $11,831 | $11,831 | $11,831 – $11,831 |
| 4 | Aetna medicaid facility · percent of total billed charges · outpatientfrom % of charges | $12,068 | $12,068 | $12,068 – $12,068 |
| 5 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $12,660 | $12,660 | $12,660 – $12,660 |
| 6 | Aetna commercial facility · case rate · outpatient | $17,181 | $17,181 | $17,181 – $17,181 |
| 7 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $30,005 | $30,005 | $30,005 – $30,005 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $31,584 | $31,584 | $31,584 – $31,584 |
| 9 | Humana medicare facility · fee schedule · outpatient | $31,584 | $31,584 | $31,584 – $31,584 |
| 10 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $33,163 | $33,163 | $33,163 – $33,163 |
| 11 | Superior Healthplan medicare facility · fee schedule · outpatient | $33,163 | $33,163 | $33,163 – $33,163 |
| 12 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $35,374 | $35,374 | $35,374 – $35,374 |
| 13 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $37,901 | $37,901 | $37,901 – $37,901 |
| 14 | Blue Cross Blue Shield blue advantage facility · case rate · outpatient | $38,385 | $38,385 | $38,385 – $38,385 |
| 15 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $39,638 | $39,638 | $39,638 – $39,638 |
| 16 | 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 | $40,227 | $40,227 | $40,227 – $40,227 |
| 17 | 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 | $47,326 | $47,326 | $47,326 – $47,326 |
| 18 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $52,113 | $52,113 | $52,113 – $52,113 |
| 19 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · case rate · outpatient | $54,284 | $54,284 | $54,284 – $54,284 |
| 20 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $55,213 | $55,213 | $55,213 – $55,213 |
| 21 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $55,213 | $55,213 | $55,213 – $55,213 |
| 22 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $55,213 | $55,213 | $55,213 – $55,213 |
| 23 | UnitedHealthcare charter facility · case rate · outpatient | $62,593 | $62,593 | $62,593 – $62,593 |
| 24 | UnitedHealthcare nexus facility · case rate · outpatient | $62,593 | $62,593 | $62,593 – $62,593 |
| 25 | Ambetter ambetter exchange facility · fee schedule · outpatient | $67,905 | $67,905 | $67,905 – $67,905 |
Last updated: Jun 29, 2026
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