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
San Antonio, TX
See all hospitals reporting CPT 0409T →Price type
Bexar County Hospital District’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: 9 payers, 15 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 | Aetna exchange case rate · outpatient | $5,681 | $5,681 | $5,681 – $5,681 |
| 2 | Aetna commercial case rate · outpatient | $5,980 | $5,980 | $5,980 – $5,980 |
| 3 | UnitedHealthcare commercial case rate · outpatient | $8,285 | $8,285 | $8,285 – $8,285 |
| 4 | Aetna medicare advantage fee schedule · outpatient | $21,077 | $21,077 | $21,077 – $21,077 |
| 5 | First Health medicare advantage fee schedule · outpatient | $21,077 | $21,077 | $21,077 – $21,077 |
| 6 | Humana medicare advantage fee schedule · outpatient | $21,077 | $21,077 | $21,077 – $21,077 |
| 7 | MultiPlan medicare advantage fee schedule · outpatient | $21,077 | $21,077 | $21,077 – $21,077 |
| 8 | Superior Healthplan medicare advantage fee schedule · outpatient | $21,077 | $21,077 | $21,077 – $21,077 |
| 9 | UnitedHealthcare medicare advantage fee schedule · outpatient | $21,077 | $21,077 | $21,077 – $21,077 |
| 10 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $21,498 | $21,498 | $21,498 – $21,498 |
| 11 | Molina medicare advantage fee schedule · outpatient | $21,709 | $21,709 | $21,709 – $21,709 |
| 12 | WellCare medicare advantage fee schedule · outpatient | $21,709 | $21,709 | $21,709 – $21,709 |
| 13 | Blue Cross Blue Shield hmo case rate · outpatient | $27,255 | $27,255 | $27,255 – $27,255 |
| 14 | Blue Cross Blue Shield ppo case rate · outpatient | $28,618 | $28,618 | $28,618 – $28,618 |
| 15 | Molina commercial fee schedule · outpatient | $33,722 | $33,722 | $33,722 – $33,722 |
Last updated: Oct 14, 2025
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