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
LAFAYETTE, CO
See all hospitals reporting CPT 0409T →Price type
Good Samaritan Medical Center, Llc Dba’s median price of $14.8k is 34% below the median hospital's median price ($22.5k), higher than 19% 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: 6 payers, 38 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 | Cigna cigna co public option facility · case rate · outpatient | $6,367 | $6,367 | $6,367 – $6,367 |
| 2 | Cigna cigna connect exchange facility · case rate · outpatient | $7,739 | $7,739 | $7,739 – $7,739 |
| 3 | Cigna cigna surefit facility · case rate · outpatient | $7,739 | $7,739 | $7,739 – $7,739 |
| 4 | Humana choicecare humana hmo epo facility · case rate · outpatient | $9,464 | $9,464 | $9,464 – $9,464 |
| 5 | Humana choicecare humana ppo facility · case rate · outpatient | $9,464 | $9,464 | $9,464 – $9,464 |
| 6 | Cigna cigna hmo facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 7 | Cigna cigna indemnity facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 8 | Cigna cigna local plus facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 9 | Cigna cigna other facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 10 | Cigna cigna pos/qpos facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 11 | Cigna cigna ppo facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 12 | Cigna eighth dist elect ben pln facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 13 | Cigna health-partners facility · case rate · outpatient | $10,318 | $10,318 | $10,318 – $10,318 |
| 14 | Aetna aetna colorado preferred facility · case rate · outpatient | $10,328 | $10,328 | $10,328 – $10,328 |
| 15 | Aetna aetna hmo/epo facility · case rate · outpatient | $11,423 | $11,423 | $11,423 – $11,423 |
| 16 | Aetna aetna indemnity facility · case rate · outpatient | $11,423 | $11,423 | $11,423 – $11,423 |
| 17 | Aetna aetna other facility · case rate · outpatient | $11,423 | $11,423 | $11,423 – $11,423 |
| 18 | Aetna aetna pos/qpos facility · case rate · outpatient | $11,423 | $11,423 | $11,423 – $11,423 |
| 19 | Aetna aetna ppo facility · case rate · outpatient | $11,423 | $11,423 | $11,423 – $11,423 |
| 20 | Aetna aetna src facility · case rate · outpatient | $11,423 | $11,423 | $11,423 – $11,423 |
| 21 | Anthem bcbs co federal facility · case rate · outpatient | $14,840 | $14,840 | $14,840 – $14,840 |
| 22 | Anthem bcbs co hmo facility · case rate · outpatient | $14,840 | $14,840 | $14,840 – $14,840 |
| 23 | Anthem bcbs co ppo facility · case rate · outpatient | $14,840 | $14,840 | $14,840 – $14,840 |
| 24 | UnitedHealthcare uhc mrp php prime facility · case rate · outpatient | $22,332 | $22,332 | $22,332 – $22,332 |
| 25 | UnitedHealthcare uhc rmhp mrp dualcare facility · case rate · outpatient | $22,332 | $22,332 | $22,332 – $22,332 |
Last updated: Mar 22, 2026
See Cardiac contractility modulation device, pulse generator implant pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.