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
Lodi, OH
See all hospitals reporting CPT 0409T →Price type
Lodi Community Hospital’s median price of $30.6k is 36% above the median hospital's median price ($22.5k), higher than 80% 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, 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 | Optum all products va facility · fee schedule · outpatient | $22,446 | $22,446 | $22,446 – $22,446 |
| 2 | Optum medicare advantage transplant facility · fee schedule · outpatient | $22,446 | $22,446 | $22,446 – $22,446 |
| 3 | Anthem medicare advantage facility · fee schedule · outpatient | $22,725 | $22,725 | $22,725 – $22,725 |
| 4 | Optum managed medicaid transplant facility · case rate · outpatient | $29,077 | $29,077 | $29,077 – $29,077 |
| 5 | Caresource managed medicaid facility · case rate · outpatient | $30,607 | $30,607 | $30,607 – $30,607 |
| 6 | Anthem managed medicaid facility · case rate · outpatient | $32,137 | $32,137 | $32,137 – $32,137 |
| 7 | Molina managed medicaid facility · case rate · outpatient | $32,137 | $32,137 | $32,137 – $32,137 |
| 8 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $32,137 | $32,137 | $32,137 – $32,137 |
Last updated: Jun 15, 2026
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