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
Berwyn, IL
See all hospitals reporting CPT 0409T →Price type
MacNeal Hospital’s median price of $24.0k is 7% above the median hospital's median price ($22.5k), higher than 62% 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: 9 payers, 15 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 ppo facility · fee schedule · outpatient | $4,025 | $4,025 | $4,025 – $4,025 |
| 2 | Blue Cross Blue Shield mmp/duals facility · fee schedule · outpatient | $21,760 | $21,760 | $21,760 – $21,760 |
| 3 | Aetna medicaid facility · case rate · outpatient | $22,045 | $22,045 | $22,045 – $22,045 |
| 4 | Molina medicaid facility · case rate · outpatient | $22,045 | $22,045 | $22,045 – $22,045 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $23,398 | $23,398 | $23,398 – $23,398 |
| 6 | Aetna Better Health mmp/duals facility · fee schedule · outpatient | $23,398 | $23,398 | $23,398 – $23,398 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $23,937 | $23,937 | $23,937 – $23,937 |
| 8 | Cigna medicare advantage facility · fee schedule · outpatient | $24,100 | $24,100 | $24,100 – $24,100 |
| 9 | Molina medicare advantage facility · fee schedule · outpatient | $24,568 | $24,568 | $24,568 – $24,568 |
| 10 | WellCare medicare advantage facility · fee schedule · outpatient | $24,568 | $24,568 | $24,568 – $24,568 |
| 11 | Oscar health exchange facility · fee schedule · outpatient | $25,738 | $25,738 | $25,738 – $25,738 |
| 12 | Humana mmp/duals facility · fee schedule · outpatient | $26,440 | $26,440 | $26,440 – $26,440 |
| 13 | Ambetter health exchange facility · fee schedule · outpatient | $28,078 | $28,078 | $28,078 – $28,078 |
| 14 | Molina health exchange facility · fee schedule · outpatient | $29,248 | $29,248 | $29,248 – $29,248 |
| 15 | Blue Cross Blue Shield blue choice facility · fee schedule · outpatient | $31,798 | $31,798 | $31,798 – $31,798 |
Last updated: Mar 31, 2026
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