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
Lithonia, GA
See all hospitals reporting CPT 0409T →Price type
Dekalb Medical Center, Inc’s median price of $21.3k is 6% below the median hospital's median price ($22.5k), higher than 35% 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: 10 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 | Blue Cross Blue Shield blue pathways exchange facility · fee schedule · outpatient | $6,580 | $6,580 | $6,580 – $6,580 |
| 2 | Aetna exchange facility · fee schedule · outpatient | $8,192 | $8,192 | $8,192 – $8,192 |
| 3 | Oscar exchange facility · fee schedule · outpatient | $8,645 | $8,645 | $8,645 – $8,645 |
| 4 | Blue Cross Blue Shield hpn other commercial plan facility · fee schedule · outpatient | $9,413 | $9,413 | $9,413 – $9,413 |
| 5 | Blue Cross Blue Shield hmo facility · fee schedule · outpatient | $10,674 | $10,674 | $10,674 – $10,674 |
| 6 | Humana medicare managed care plan facility · fee schedule · outpatient | $11,403 | $11,403 | $11,403 – $11,403 |
| 7 | UnitedHealthcare core/charter/nexus other commercial plan facility · fee schedule · outpatient | $18,067 | $18,067 | $18,067 – $18,067 |
| 8 | UnitedHealthcare hmo/pos facility · fee schedule · outpatient | $21,254 | $21,254 | $21,254 – $21,254 |
| 9 | Devoted medicare managed care plan facility · fee schedule · outpatient | $22,311 | $22,311 | $22,311 – $22,311 |
| 10 | Blue Cross Blue Shield blue value secure medicare managed care plan facility · fee schedule · outpatient | $22,534 | $22,534 | $22,534 – $22,534 |
| 11 | Aetna medicare managed care plan facility · fee schedule · outpatient | $22,757 | $22,757 | $22,757 – $22,757 |
| 12 | Cigna healthspring medicare managed care plan facility · fee schedule · outpatient | $22,980 | $22,980 | $22,980 – $22,980 |
| 13 | Clover medicare managed care plan facility · fee schedule · outpatient | $23,426 | $23,426 | $23,426 – $23,426 |
| 14 | WellCare medicare managed care plan facility · fee schedule · outpatient | $23,650 | $23,650 | $23,650 – $23,650 |
| 15 | Ambetter peach state exchange facility · fee schedule · outpatient | $47,299 | $47,299 | $47,299 – $47,299 |
Last updated: Apr 1, 2026
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