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
Lubbock, TX
See all hospitals reporting CPT 0409T →Price type
Covenant Medical Center’s median price of $28.3k is 26% above the median hospital's median price ($22.5k), higher than 75% 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, 10 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 new business tier 1 other commercial plan fee schedule · outpatient | $5,129 | $5,129 | $5,129 – $5,129 |
| 2 | Aetna all commercial plans fee schedule · outpatient | $8,144 | $8,144 | $8,144 – $8,144 |
| 3 | Aetna preferred other commercial plan fee schedule · outpatient | $8,153 | $8,153 | $8,153 – $8,153 |
| 4 | Aetna medicare managed care plan fee schedule · outpatient | $22,345 | $22,345 | $22,345 – $22,345 |
| 5 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $23,574 | $23,574 | $23,574 – $23,574 |
| 6 | UnitedHealthcare all commercial plans fee schedule · outpatient | $30,382 | $30,382 | $30,382 – $30,382 |
| 7 | Blue Cross Blue Shield blue essentials hmo fee schedule · outpatient | $34,751 | $34,751 | $34,751 – $34,751 |
| 8 | Blue Cross Blue Shield par traditional fee schedule · outpatient | $40,202 | $40,202 | $40,202 – $40,202 |
| 9 | Blue Cross Blue Shield ers blue essentials for healthselect members hmo fee schedule · outpatient | $46,107 | $46,107 | $46,107 – $46,107 |
| 10 | Blue Cross Blue Shield ppo fee schedule · outpatient | $48,151 | $48,151 | $48,151 – $48,151 |
Last updated: Apr 1, 2026
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