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
Newburgh, IN
See all hospitals reporting CPT 0409T →Price type
Deaconess Hospital, Inc’s median price of $23.1k is 3% above the median hospital's median price ($22.5k), higher than 57% 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: 8 payers, 16 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 | UnitedHealthcare commercial facility · case rate · outpatient | $20,694 | $20,694 | $19,516 – $21,872 |
| 2 | Anthem commercial facility · per diem · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 3 | Anthem medicare advantage facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 4 | Bcbs Il dual medicare/medicaid facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 5 | Bcbs Il medicare advantage facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 6 | Humana fide-snp facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 8 | Molina dual medicare/medicaid facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 9 | Molina fide-snp facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 10 | UnitedHealthcare government facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 12 | WellCare dual medicare/medicaid facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 13 | WellCare medicare advantage facility · case rate · outpatient | $23,148 | $23,148 | $23,148 – $23,148 |
| 14 | Ambetter commercial facility · case rate · outpatient | $34,722 | $34,722 | $34,722 – $34,722 |
| 15 | Caresource commercial facility · case rate · outpatient | $34,722 | $34,722 | $34,722 – $34,722 |
| 16 | Anthem hmo facility · fee schedule · outpatient | $66,914 | $66,914 | $59,479 – $74,350 |
Last updated: Feb 11, 2026
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