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
Manchester, CT
See all hospitals reporting CPT 0409T →Price type
Manchester Memorial Hospital’s median price of $26.8k is 19% above the median hospital's median price ($22.5k), higher than 71% 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, 5 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 | $6,554 | $6,554 | $6,420 – $6,688 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $26,834 | $26,834 | $26,834 – $26,834 |
| 3 | Anthem medicare advantage fee schedule · outpatient | $26,834 | $26,834 | $26,834 – $26,834 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $26,834 | $26,834 | $26,834 – $26,834 |
| 5 | WellCare medicare advantage fee schedule · outpatient | $26,834 | $26,834 | $26,834 – $26,834 |
Last updated: Apr 1, 2026
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