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
Teaneck, NJ
See all hospitals reporting CPT 0409T →Price type
Holy Name’s median price of $26.4k is 17% above the median hospital's median price ($22.5k), higher than 70% 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: 5 payers, 6 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 | Aetna medicare prime facility · fee schedule · outpatient | $23,791 | $23,791 | $23,791 – $23,791 |
| 2 | Aetna golden medicare facility · fee schedule · outpatient | $26,434 | $26,434 | $26,434 – $26,434 |
| 3 | Clover clover facility · fee schedule · outpatient | $26,434 | $26,434 | $26,434 – $26,434 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $26,434 | $26,434 | $26,434 – $26,434 |
| 5 | WellCare medicare facility · fee schedule · outpatient | $26,698 | $26,698 | $26,698 – $26,698 |
| 6 | Cigna hmo/pos facility · fee schedule · outpatient | $78,133 | $78,133 | $78,133 – $78,133 |
Last updated: Nov 10, 2025
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