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
Longview, TX
See all hospitals reporting CPT 0409T →Price type
CHRISTUS Good Shepherd Hospital - Northpark’s median price of $22.3k is 1% below the median hospital's median price ($22.5k), higher than 45% 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, 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 | Cigna new business case rate · outpatient | $2,052 | $2,052 | $2,052 – $2,052 |
| 2 | Cigna ppo case rate · outpatient | $4,099 | $4,099 | $4,099 – $4,099 |
| 3 | Humana mm fee schedule · outpatient | $20,364 | $20,364 | $20,364 – $20,364 |
| 4 | Aetna mm fee schedule · outpatient | $21,436 | $21,436 | $21,436 – $21,436 |
| 5 | Blue Cross Blue Shield mm fee schedule · outpatient | $21,436 | $21,436 | $21,436 – $21,436 |
| 6 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $21,436 | $21,436 | $21,436 – $21,436 |
| 7 | WellCare mm fee schedule · outpatient | $21,436 | $21,436 | $21,436 – $21,436 |
| 8 | UnitedHealthcare mm fee schedule · outpatient | $21,865 | $21,865 | $21,865 – $21,865 |
| 9 | UnitedHealthcare hix case rate · outpatient | $22,600 | $22,600 | $22,600 – $22,600 |
| 10 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $23,621 | $23,621 | $23,621 – $23,621 |
| 11 | Bcbs Tx heb fee schedule · outpatient | $32,252 | $32,252 | $32,252 – $32,252 |
| 12 | UnitedHealthcare all payer case rate · outpatient | $51,113 | $51,113 | $51,113 – $51,113 |
| 13 | Bcbs Tx hmo fee schedule · outpatient | $66,095 | $66,095 | $66,095 – $66,095 |
| 14 | Bcbs Tx ppo fee schedule · outpatient | $77,224 | $77,224 | $77,224 – $77,224 |
| 15 | Bcbs Tx traditional fee schedule · outpatient | $94,258 | $94,258 | $94,258 – $94,258 |
Last updated: Jan 12, 2026
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