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
Glendale, WI
See all hospitals reporting CPT 0409T →Price type
Columbia St. Mary's, Inc.’s median price of $14.6k is 35% below the median hospital's median price ($22.5k), higher than 18% 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: 3 payers, 7 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 | Humana 7_humana - commercial wvn fee schedule · both | $4,812 | $4,812 | $4,812 – $4,812 |
| 2 | Humana 6_humana - commercial hmo/pos/hpn/ppo fee schedule · both | $6,689 | $6,689 | $6,689 – $6,689 |
| 3 | Anthem 5_anthem - pathways fee schedule · both | $12,069 | $12,069 | $12,069 – $12,069 |
| 4 | UnitedHealthcare 1_uhc - commercial fee schedule · both | $14,233 | $14,233 | $14,233 – $14,233 |
| 5 | Anthem 4_anthem - high performance network fee schedule · both | $16,462 | $16,462 | $16,462 – $16,462 |
| 6 | Anthem 2_anthem - blue preferred/blue preferred plus fee schedule · both | $18,291 | $18,291 | $18,291 – $18,291 |
| 7 | Anthem 3_anthem - ppo acess/blue traditional fee schedule · both | $36,764 | $36,764 | $36,764 – $36,764 |
Last updated: Jan 1, 2026
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