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
Sevierville, TN
See all hospitals reporting CPT 0409T →Price type
Leconte Medical Center’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: 10 payers, 35 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 | Blue Cross Blue Shield blue care case rate · outpatient | $1,890 | $1,890 | $1,890 – $1,890 |
| 2 | Ambetter exchange case rate · outpatient | $2,009 | $2,009 | $2,009 – $2,009 |
| 3 | Cigna ifp case rate · outpatient | $2,372 | $2,372 | $2,372 – $2,372 |
| 4 | Cigna local plus case rate · outpatient | $2,857 | $2,857 | $2,857 – $2,857 |
| 5 | Cigna hmo case rate · outpatient | $3,419 | $3,419 | $3,419 – $3,419 |
| 6 | Cigna oap case rate · outpatient | $3,419 | $3,419 | $3,419 – $3,419 |
| 7 | Cigna pos case rate · outpatient | $3,419 | $3,419 | $3,419 – $3,419 |
| 8 | Aetna commercial case rate · outpatient | $4,559 | $4,559 | $4,559 – $4,559 |
| 9 | Blue Cross Blue Shield commercial network p case rate · outpatient | $14,046 | $14,046 | $14,046 – $14,046 |
| 10 | Blue Cross Blue Shield commercial network s case rate · outpatient | $14,046 | $14,046 | $14,046 – $14,046 |
| 11 | UnitedHealthcare tenncare case rate · outpatient | $18,308 | $18,308 | $18,308 – $18,308 |
| 12 | Optum va ccn fee schedule · outpatient | $21,614 | $21,614 | $21,614 – $21,614 |
| 13 | Tricare humana military fee schedule · outpatient | $21,614 | $21,614 | $21,614 – $21,614 |
| 14 | Humana dsnp fee schedule · outpatient | $22,262 | $22,262 | $22,262 – $22,262 |
| 15 | Humana medicare advantage hmo fee schedule · outpatient | $22,262 | $22,262 | $22,262 – $22,262 |
| 16 | Humana medicare advantage ppo fee schedule · outpatient | $22,262 | $22,262 | $22,262 – $22,262 |
| 17 | UnitedHealthcare community plan dsnp fee schedule · outpatient | $22,262 | $22,262 | $22,262 – $22,262 |
| 18 | UnitedHealthcare medicare advantage fee schedule · outpatient | $22,262 | $22,262 | $22,262 – $22,262 |
| 19 | Aetna medicare advantage fee schedule · outpatient | $22,695 | $22,695 | $22,695 – $22,695 |
| 20 | Blue Cross Blue Shield blueessential dsnp fee schedule · outpatient | $22,695 | $22,695 | $22,695 – $22,695 |
| 21 | Blue Cross Blue Shield blueessential hmo fee schedule · outpatient | $22,695 | $22,695 | $22,695 – $22,695 |
| 22 | Blue Cross Blue Shield med adv diamond fee schedule · outpatient | $22,695 | $22,695 | $22,695 – $22,695 |
| 23 | Blue Cross Blue Shield med adv ppo fee schedule · outpatient | $22,695 | $22,695 | $22,695 – $22,695 |
| 24 | Blue Cross Blue Shield med adv ruby fee schedule · outpatient | $22,695 | $22,695 | $22,695 – $22,695 |
| 25 | Blue Cross Blue Shield med adv sapphire fee schedule · outpatient | $22,695 | $22,695 | $22,695 – $22,695 |
Last updated: Aug 5, 2026
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