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
Canandaigua, NY
See all hospitals reporting CPT 0409T →Price type
F.F. Thompson Hospital’s median price of $27.8k is 23% above the median hospital's median price ($22.5k), higher than 74% 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, 8 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 aetna medicare 130001 fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 2 | Highmark highmark bcbs medicare 130101 fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 3 | Humana humana medicare 131201 fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 4 | UnitedHealthcare united healthcare medicare 130901 fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 5 | WellCare wellcare medicare 131001 fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 6 | Excellus excellus metal tiers 220102 fee schedule · outpatient | $49,602 | $49,602 | $49,602 – $49,602 |
| 7 | Cigna mvp commercial ppo fully insured 290006, cigna healthcare (pob 182223) 514405 fee schedule · outpatient | $64,918 | $64,918 | $64,918 – $64,918 |
| 8 | Excellus excellus 220101, excellus simply blue 220106, excellus blue choice 220107 fee schedule · outpatient | $76,671 | $76,671 | $76,671 – $76,671 |
Last updated: Jan 1, 2026
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