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
Richfield, UT
See all hospitals reporting CPT 0409T →Price type
IHC Health Services Inc., DBA Intermountain Health Sevier Valley Hospital’s median price of $24.1k is 7% above the median hospital's median price ($22.5k), higher than 63% 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, 7 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 | Molina medicaid facility · case rate · outpatient | $19,960 | $19,960 | $19,960 – $19,960 |
| 2 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $24,121 | $24,121 | $24,121 – $24,121 |
| 3 | Humana medicare choice ppo facility · case rate · outpatient | $25,327 | $25,327 | $25,327 – $25,327 |
| 4 | Aetna medicare adv hmo facility · case rate · outpatient | $26,051 | $26,051 | $26,051 – $26,051 |
| 5 | Molina medicare choice care hmo facility · case rate · outpatient | $26,051 | $26,051 | $26,051 – $26,051 |
| 6 | Molina medicare complete care hmo snp facility · case rate · outpatient | $26,051 | $26,051 | $26,051 – $26,051 |
| 7 | Aetna medicare adv ppo facility · case rate · outpatient | $26,533 | $26,533 | $26,533 – $26,533 |
Last updated: Aug 5, 2026
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