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
PAUL, MN
See all hospitals reporting CPT 0409T →Price type
Gillette Children's Specialty Healthcare’s median price of $570 is 97% below the median hospital's median price ($22.5k), higher than 2% 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: 4 payers, 4 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 | Medica commercial professional · fee schedule · outpatient | $368.48 | $368.48 | $368.48 – $368.48 |
| 2 | UnitedHealthcare commercial professional · fee schedule · outpatient | $569.50 | $569.50 | $569.50 – $569.50 |
| 3 | Ucare managed medicaid facility · fee schedule · outpatient | $18,881 | $18,881 | $18,881 – $18,881 |
| 4 | Aetna managed medicare facility · case rate · outpatient | $23,340 | $23,340 | $23,340 – $23,340 |
Last updated: Jan 1, 2026
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