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
Wilkes-Barre, PA
See all hospitals reporting CPT 0409T →Price type
Geisinger Wyoming Valley’s median price of $16.5k is 27% below the median hospital's median price ($22.5k), higher than 22% 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, 21 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 | $1.47 | $1.47 | $1.47 – $1.47 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 4 | Blue Cross Blue Shield highmark bc/bs - special care percent of total billed charges · outpatientfrom % of charges | $4,962 | $4,962 | $4,962 – $4,962 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $5,506 | $5,506 | $5,506 – $5,506 |
| 6 | Blue Cross Blue Shield highmark bc/bs percent of total billed charges · outpatientfrom % of charges | $7,090 | $7,090 | $7,090 – $7,090 |
| 7 | UnitedHealthcare united healthcare - all payer rate percent of total billed charges · outpatientfrom % of charges | $9,482 | $9,482 | $9,482 – $9,482 |
| 8 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $9,951 | $9,951 | $9,951 – $9,951 |
| 9 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $11,263 | $11,263 | $11,263 – $11,263 |
| 10 | UnitedHealthcare united healthcare - client specific rate percent of total billed charges · outpatientfrom % of charges | $12,298 | $12,298 | $12,298 – $12,298 |
| 11 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $15,811 | $15,811 | $15,811 – $15,811 |
| 12 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $15,811 | $15,811 | $15,811 – $15,811 |
| 13 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $16,229 | $16,229 | $16,229 – $16,229 |
| 14 | MultiPlan beech street percent of total billed charges · inpatientfrom % of charges | $20,456 | $20,456 | $20,456 – $20,456 |
| 15 | MultiPlan beech street percent of total billed charges · outpatientfrom % of charges | $20,456 | $20,456 | $20,456 – $20,456 |
| 16 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $20,456 | $20,456 | $20,456 – $20,456 |
| 17 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $20,456 | $20,456 | $20,456 – $20,456 |
| 18 | Medicare medicare fee schedule · outpatient | $21,967 | $21,967 | $21,967 – $21,967 |
| 19 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $23,185 | $23,185 | $23,185 – $23,185 |
| 20 | Medicare black lung - medicare advantage fee schedule · outpatient | $24,823 | $24,823 | $24,823 – $24,823 |
| 21 | Ambetter ambetter fee schedule · outpatient | $72,492 | $72,492 | $72,492 – $72,492 |
Last updated: Jul 1, 2026
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