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
Keene, NH
See all hospitals reporting CPT 0409T →Price type
Cheshire Medical Center’s median price of $23.5k is 4% above the median hospital's median price ($22.5k), higher than 58% 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, 19 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 aetna hmo/pos/ppo professional · fee schedule · outpatient | $369.90 | $369.90 | $369.90 – $369.90 |
| 2 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $369.90 | $369.90 | $369.90 – $369.90 |
| 3 | Cigna cigna hmo-pos facility · case rate · outpatient | $2,875 | $2,875 | $2,875 – $2,875 |
| 4 | Cigna cigna ppo facility · case rate · outpatient | $2,875 | $2,875 | $2,875 – $2,875 |
| 5 | Aetna aetna hmo/pos/ppo facility · case rate · outpatient | $5,230 | $5,230 | $5,230 – $5,230 |
| 6 | Ambetter ambetter commercial - exchange facility · case rate · outpatient | $20,852 | $20,852 | $20,852 – $20,852 |
| 7 | Aetna aetna medicare advantage facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 8 | Anthem anthem - medicare advantage facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 9 | Anthem anthem indiv qhp - exchange facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 10 | Bcbs Vt bcbs of vermont - medicare advantage facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 11 | Cigna cigna medicare advantage facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 12 | UnitedHealthcare uhc - medicare advantage facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 13 | UnitedHealthcare uhc - va community care network facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 14 | WellCare wellcare - medicare advantage facility · case rate · outpatient | $23,454 | $23,454 | $23,454 – $23,454 |
| 15 | Anthem anthem shop on exch facility · case rate · outpatient | $32,835 | $32,835 | $32,835 – $32,835 |
| 16 | UnitedHealthcare uhc - freedom plan facility · case rate · outpatient | $35,345 | $35,345 | $35,345 – $35,345 |
| 17 | Anthem anthem - indemnity facility · case rate · outpatient | $76,119 | $76,119 | $76,119 – $76,119 |
| 18 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch facility · case rate · outpatient | $76,119 | $76,119 | $76,119 – $76,119 |
| 19 | Anthem anthem ppo facility · case rate · outpatient | $76,119 | $76,119 | $76,119 – $76,119 |
Last updated: Jan 1, 2026
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