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
Dallas, TX
See all hospitals reporting CPT 0409T →Price type
Baylor University Medical Center’s median price of $21.7k is 4% below the median hospital's median price ($22.5k), higher than 37% 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: 11 payers, 32 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 | $4,674 | $4,674 | $4,674 – $4,674 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $5,001 | $5,001 | $5,001 – $5,001 |
| 3 | Cigna local plus facility · case rate · inpatient | $6,299 | $6,299 | $6,299 – $6,299 |
| 4 | Cigna local plus facility · case rate · outpatient | $7,038 | $7,038 | $7,038 – $7,038 |
| 5 | Cigna hmo/ppo facility · case rate · inpatient | $7,411 | $7,411 | $7,411 – $7,411 |
| 6 | Cigna hmo/ppo facility · case rate · outpatient | $8,280 | $8,280 | $8,280 – $8,280 |
| 7 | 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 | $14,023 | $14,023 | $14,023 – $14,023 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $15,122 | $15,122 | $15,122 – $15,122 |
| 9 | 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 | $16,497 | $16,497 | $16,497 – $16,497 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $19,247 | $19,247 | $19,247 – $19,247 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $19,247 | $19,247 | $19,247 – $19,247 |
| 12 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $19,247 | $19,247 | $19,247 – $19,247 |
| 13 | Optum commercial facility · percent of total billed charges · outpatientfrom % of charges | $19,247 | $19,247 | $19,247 – $19,247 |
| 14 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $21,228 | $21,228 | $21,228 – $21,228 |
| 15 | Aetna medicare advantage facility · fee schedule · outpatient | $22,345 | $22,345 | $22,345 – $22,345 |
| 16 | Humana medicare facility · fee schedule · outpatient | $22,345 | $22,345 | $22,345 – $22,345 |
| 17 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $23,462 | $23,462 | $23,462 – $23,462 |
| 18 | Molina medicare advantage facility · fee schedule · outpatient | $23,462 | $23,462 | $23,462 – $23,462 |
| 19 | Superior Healthplan medicare facility · fee schedule · outpatient | $23,462 | $23,462 | $23,462 – $23,462 |
| 20 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $25,026 | $25,026 | $25,026 – $25,026 |
| 21 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $26,814 | $26,814 | $26,814 – $26,814 |
| 22 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $28,043 | $28,043 | $28,043 – $28,043 |
| 23 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $36,869 | $36,869 | $36,869 – $36,869 |
| 24 | Blue Cross Blue Shield blue advantage facility · case rate · outpatient | $38,385 | $38,385 | $38,385 – $38,385 |
| 25 | Ambetter ambetter exchange facility · fee schedule · outpatient | $48,042 | $48,042 | $48,042 – $48,042 |
Last updated: Jun 29, 2026
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