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
HB INS/REPLACE GENERATOR ONLY PERM CARD CONTRACTILITY MODULATION
Detroit, MI
See all hospitals reporting CPT 0409T →Price type
Henry Ford Health System’s median price of $20.3k is 10% below the median hospital's median price ($22.5k), higher than 28% 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, 43 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Humana medicare advantage-np-fac professional · fee schedule · outpatient | $327.59 | $327.59 | $327.59 – $327.59 |
| 2 | Humana medicare advantage-np-nonfac professional · fee schedule · outpatient | $327.59 | $327.59 | $327.59 – $327.59 |
| 3 | Humana medicare advantage-physician-nonfac professional · fee schedule · outpatient | $327.59 | $327.59 | $327.59 – $327.59 |
| 4 | UnitedHealthcare vaccn-fac professional · fee schedule · outpatient | $342.74 | $342.74 | $342.74 – $342.74 |
| 5 | UnitedHealthcare vaccn-nonfac professional · fee schedule · outpatient | $342.74 | $342.74 | $342.74 – $342.74 |
| 6 | Humana medicare advantage-physician-fac professional · fee schedule · outpatient | $385.40 | $385.40 | $385.40 – $385.40 |
| 7 | Aetna all products-nonfac professional · fee schedule · outpatient | $453.71 | $453.71 | $453.71 – $453.71 |
| 8 | Aetna all products-fac professional · fee schedule · outpatient | $457.34 | $457.34 | $457.34 – $457.34 |
| 9 | Amerihealth Caritas dual products-fac professional · percent of total billed charges · outpatientfrom % of charges | $520.00 | $520.00 | $520.00 – $520.00 |
| 10 | Amerihealth Caritas dual products-nonfac professional · percent of total billed charges · outpatientfrom % of charges | $520.00 | $520.00 | $520.00 – $520.00 |
| 11 | Blue Cross Blue Shield blue cross complete-child-fac professional · percent of total billed charges · outpatientfrom % of charges | $520.00 | $520.00 | $520.00 – $520.00 |
| 12 | Blue Cross Blue Shield blue cross complete-child-nonfac professional · percent of total billed charges · outpatientfrom % of charges | $520.00 | $520.00 | $520.00 – $520.00 |
| 13 | Blue Cross Blue Shield blue cross complete-adult-fac professional · percent of total billed charges · outpatientfrom % of charges | $682.50 | $682.50 | $520.00 – $845.00 |
| 14 | Blue Cross Blue Shield blue cross complete-adult-nonfac professional · percent of total billed charges · outpatientfrom % of charges | $682.50 | $682.50 | $520.00 – $845.00 |
| 15 | Blue Cross Blue Shield bcn medicare advantage -fac professional · percent of total billed charges · outpatientfrom % of charges | $845.00 | $845.00 | $845.00 – $845.00 |
| 16 | Blue Cross Blue Shield bcn medicare advantage -nonfac professional · percent of total billed charges · outpatientfrom % of charges | $845.00 | $845.00 | $845.00 – $845.00 |
| 17 | Blue Cross Blue Shield medicare plus blue-fac professional · percent of total billed charges · outpatientfrom % of charges | $845.00 | $845.00 | $845.00 – $845.00 |
| 18 | Blue Cross Blue Shield medicare plus blue-nonfac professional · percent of total billed charges · outpatientfrom % of charges | $845.00 | $845.00 | $845.00 – $845.00 |
| 19 | UnitedHealthcare all products-midlevel professional · fee schedule · outpatient | $909.32 | $909.32 | $909.32 – $909.32 |
| 20 | Humana tricare-nonphysician-fac professional · percent of total billed charges · outpatientfrom % of charges | $910.00 | $910.00 | $910.00 – $910.00 |
| 21 | UnitedHealthcare all products-prof professional · fee schedule · outpatient | $1,055 | $1,055 | $1,055 – $1,055 |
| 22 | Aetna commercial facility · case rate · outpatient | $4,797 | $4,797 | $4,797 – $4,797 |
| 23 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $18,588 | $18,588 | $18,588 – $18,588 |
| 24 | Blue Cross Blue Shield gm connected care professional · fee schedule · outpatient | $20,202 | $20,202 | $20,202 – $20,202 |
| 25 | Cigna transplants commercial facility · percent of total billed charges · outpatientfrom % of charges | $20,375 | $20,375 | $20,375 – $20,375 |
Last updated: Jun 28, 2026
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