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
Laguna Hills, CA
See all hospitals reporting CPT 0409T →Price type
MemorialCare Saddleback Medical Center’s median price of $30.0k is 33% above the median hospital's median price ($22.5k), higher than 79% 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, 21 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 whole health hmo fee schedule · outpatient | $3,513 | $3,513 | $3,513 – $3,513 |
| 2 | Blue Cross Blue Shield trio other commercial plan fee schedule · outpatient | $4,209 | $4,209 | $4,209 – $4,209 |
| 3 | Cigna select hmo fee schedule · outpatient | $4,295 | $4,295 | $4,295 – $4,295 |
| 4 | Blue Cross Blue Shield epn/covered ca other commercial plan fee schedule · outpatient | $4,706 | $4,706 | $4,706 – $4,706 |
| 5 | Blue Cross Blue Shield hmo/pos fee schedule · outpatient | $4,817 | $4,817 | $4,817 – $4,817 |
| 6 | Blue Cross Blue Shield ppo/epo fee schedule · outpatient | $4,817 | $4,817 | $4,817 – $4,817 |
| 7 | Cigna value hmo fee schedule · outpatient | $4,881 | $4,881 | $4,881 – $4,881 |
| 8 | Blue Cross Blue Shield tandem ppo other commercial plan fee schedule · outpatient | $5,239 | $5,239 | $5,239 – $5,239 |
| 9 | Aetna gatekeeper hmo fee schedule · outpatient | $5,634 | $5,634 | $5,634 – $5,634 |
| 10 | Cigna all commercial plans fee schedule · outpatient | $6,752 | $6,752 | $6,752 – $6,752 |
| 11 | Aetna non-gatekeeper ppo fee schedule · outpatient | $15,028 | $15,028 | $15,028 – $15,028 |
| 12 | Blue Cross Blue Shield medicare managed care plan fee schedule · outpatient | $28,037 | $28,037 | $28,037 – $28,037 |
| 13 | Aetna senior medicare managed care plan fee schedule · outpatient | $28,609 | $28,609 | $28,609 – $28,609 |
| 14 | Blue Cross Blue Shield anthem vivity city other commercial plan fee schedule · outpatient | $29,973 | $29,973 | $29,973 – $29,973 |
| 15 | Blue Cross Blue Shield anthem vivity non-city other commercial plan fee schedule · outpatient | $33,758 | $33,758 | $33,758 – $33,758 |
| 16 | Blue Cross Blue Shield anthem hmo exchange fee schedule · outpatient | $56,396 | $56,396 | $56,396 – $56,396 |
| 17 | UnitedHealthcare preferred hmo fee schedule · outpatient | $57,304 | $57,304 | $57,304 – $57,304 |
| 18 | UnitedHealthcare non-preferred hmo fee schedule · outpatient | $84,942 | $84,942 | $84,942 – $84,942 |
| 19 | UnitedHealthcare all payer other commercial plan fee schedule · outpatient | $85,430 | $85,430 | $85,430 – $85,430 |
| 20 | Blue Cross Blue Shield anthem non-mcs other commercial plan fee schedule · outpatient | $86,763 | $86,763 | $86,763 – $86,763 |
| 21 | Blue Cross Blue Shield anthem mcs other commercial plan fee schedule · outpatient | $104,115 | $104,115 | $104,115 – $104,115 |
Last updated: Apr 1, 2026
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