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
HC INSRT/RPLC CARD MODUL SYS GENERATOR
Scranton, PA
See all hospitals reporting CPT 0409T →Price type
Geisinger Community Medical Center’s median price of $14.5k is 36% 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: 9 payers, 24 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 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $1.20 | $1.20 | $1.20 – $1.20 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 4 | Blue Cross Blue Shield highmark freedom blue - medicare advantage percent of total billed charges · outpatientfrom % of charges | $1,795 | $1,795 | $1,795 – $1,795 |
| 5 | Blue Cross Blue Shield highmark - special care percent of total billed charges · outpatientfrom % of charges | $4,219 | $4,219 | $4,219 – $4,219 |
| 6 | Blue Cross Blue Shield highmark - access care ii percent of total billed charges · outpatientfrom % of charges | $6,029 | $6,029 | $6,029 – $6,029 |
| 7 | Blue Cross Blue Shield highmark - non access care ii percent of total billed charges · outpatientfrom % of charges | $6,029 | $6,029 | $6,029 – $6,029 |
| 8 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $9,362 | $9,362 | $9,362 – $9,362 |
| 9 | Blue Cross Blue Shield first priority health percent of total billed charges · outpatientfrom % of charges | $9,694 | $9,694 | $9,694 – $9,694 |
| 10 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $9,836 | $9,836 | $9,836 – $9,836 |
| 11 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $12,466 | $12,466 | $12,466 – $12,466 |
| 12 | UnitedHealthcare united healthcare - client specific rate percent of total billed charges · outpatientfrom % of charges | $13,188 | $13,188 | $13,188 – $13,188 |
| 13 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $13,549 | $13,549 | $13,549 – $13,549 |
| 14 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $13,549 | $13,549 | $13,549 – $13,549 |
| 15 | Blue Cross Blue Shield highmark - special care case rate · inpatient | $16,086 | $16,086 | $16,086 – $16,086 |
| 16 | Blue Cross Blue Shield first priority health case rate · inpatient | $18,036 | $18,036 | $18,036 – $18,036 |
| 17 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $20,456 | $20,456 | $20,456 – $20,456 |
| 18 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $20,456 | $20,456 | $20,456 – $20,456 |
| 19 | Medicare medicare fee schedule · outpatient | $21,967 | $21,967 | $21,967 – $21,967 |
| 20 | Blue Cross Blue Shield highmark - access care ii case rate · inpatient | $22,156 | $22,156 | $22,156 – $22,156 |
| 21 | Humana humana - medicare advantage fee schedule · outpatient | $22,407 | $22,407 | $22,407 – $22,407 |
| 22 | Blue Cross Blue Shield highmark - non access care ii case rate · inpatient | $22,980 | $22,980 | $22,980 – $22,980 |
| 23 | Aetna aetna - medicare advantage fee schedule · outpatient | $23,066 | $23,066 | $23,066 – $23,066 |
| 24 | Ambetter ambetter fee schedule · outpatient | $72,492 | $72,492 | $72,492 – $72,492 |
Last updated: Jul 1, 2026
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