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
Longmont, CO
See all hospitals reporting CPT 0409T →Price type
Longs Peak Hospital’s median price of $22.6k is about the same as the median hospital's median price ($22.5k), higher than 51% 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: 7 payers, 13 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 commercial case rate · outpatient | $4,287 | $4,287 | $4,287 – $4,287 |
| 2 | Anthem commercial case rate · outpatient | $23,855 | $22,132 | $7,342 – $33,475 |
| 3 | Aetna medicare advantage fee schedule · outpatient | $22,558 | $22,558 | $22,558 – $22,558 |
| 4 | Anthem medicare advantage fee schedule · outpatient | $22,558 | $22,558 | $22,558 – $22,558 |
| 5 | Cigna medicare advantage fee schedule · outpatient | $22,558 | $22,558 | $22,558 – $22,558 |
| 6 | Devoted medicare advantage fee schedule · outpatient | $22,558 | $22,558 | $22,558 – $22,558 |
| 7 | Humana medicare advantage fee schedule · outpatient | $22,558 | $22,558 | $22,558 – $22,558 |
| 8 | Kaiser medicare advantage fee schedule · outpatient | $22,558 | $22,558 | $22,558 – $22,558 |
| 9 | UnitedHealthcare medicare advantage fee schedule · outpatient | $22,558 | $22,558 | $22,558 – $22,558 |
| 10 | Anthem ppo case rate · outpatient | $27,877 | $27,877 | $27,877 – $27,877 |
| 11 | Anthem hmo/ppo case rate · outpatient | $29,522 | $29,522 | $23,807 – $35,237 |
| 12 | UnitedHealthcare select rates case rate · outpatient | $46,671 | $46,671 | $46,671 – $46,671 |
| 13 | UnitedHealthcare broad networks case rate · outpatient | $56,232 | $56,232 | $56,232 – $56,232 |
Last updated: Nov 1, 2025
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