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
Grand Rapids, MN
See all hospitals reporting CPT 0409T →Price type
Grand Itasca Clinic and Hospital’s median price of $22.6k is about the same as the median hospital's median price ($22.5k), higher than 52% 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, 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 | Medica commercial professional · fee schedule · both | $407.24 | $407.24 | $407.24 – $407.24 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $1,094 | $1,094 | $1,094 – $1,094 |
| 3 | Sanford Health Plan medicare advantage facility · fee schedule · outpatient | $22,588 | $22,588 | $22,588 – $22,588 |
| 4 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $22,588 | $22,588 | $22,588 – $22,588 |
| 5 | WellCare medicare advantage facility · fee schedule · outpatient | $22,588 | $22,588 | $22,588 – $22,588 |
| 6 | Bcbs Mn medicare advantage facility · fee schedule · outpatient | $23,491 | $23,491 | $23,491 – $23,491 |
| 7 | Medica medicare advantage non-snp facility · fee schedule · outpatient | $23,943 | $23,943 | $23,943 – $23,943 |
| 8 | Ucare individual and family plans facility · fee schedule · outpatient | $44,318 | $44,318 | $44,318 – $44,318 |
Last updated: Jan 28, 2026
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