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
Bronx, NY
See all hospitals reporting CPT 0409T →Price type
Montefiore Medical Center’s median price of $27.8k is 23% above the median hospital's median price ($22.5k), higher than 74% 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, 24 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 | Oscar commercial per diem · outpatient | $3,213 | $3,213 | $3,213 – $3,213 |
| 2 | Anthem wph employees other · outpatient | $4,867 | $4,867 | $4,867 – $4,867 |
| 3 | Anthem exchange other · outpatient | $6,298 | $6,298 | $6,298 – $6,298 |
| 4 | Oscar commercial case rate · outpatient | $6,602 | $6,602 | $6,602 – $6,602 |
| 5 | Anthem connection sg case rate · outpatient | $10,051 | $10,051 | $10,051 – $10,051 |
| 6 | Anthem sg epo/ppo case rate · outpatient | $10,679 | $10,679 | $10,679 – $10,679 |
| 7 | Anthem blue access case rate · outpatient | $11,308 | $11,308 | $11,308 – $11,308 |
| 8 | Anthem connection lg case rate · outpatient | $11,308 | $11,308 | $11,308 – $11,308 |
| 9 | Anthem epo ppo case rate · outpatient | $12,564 | $12,564 | $12,564 – $12,564 |
| 10 | Anthem hmo case rate · outpatient | $12,906 | $12,906 | $12,906 – $12,906 |
| 11 | Anthem indemnity case rate · outpatient | $12,945 | $12,945 | $12,945 – $12,945 |
| 12 | Aetna commercial case rate · outpatient | $14,700 | $14,700 | $14,700 – $14,700 |
| 13 | Aetna asa case rate · outpatient | $16,443 | $16,443 | $16,443 – $16,443 |
| 14 | Aetna medicare fee schedule · outpatient | $27,489 | $27,489 | $27,489 – $27,489 |
| 15 | Anthem medicare fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 16 | Oscar medicare fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 17 | UnitedHealthcare medicare fee schedule · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 18 | WellCare medicare fee schedule · outpatient | $28,322 | $28,322 | $28,322 – $28,322 |
| 19 | UnitedHealthcare oxford case rate · outpatient | $28,330 | $28,330 | $28,330 – $28,330 |
| 20 | Humana medicare fee schedule · outpatient | $30,543 | $30,543 | $30,543 – $30,543 |
| 21 | UnitedHealthcare all payer case rate · outpatient | $31,728 | $31,728 | $31,728 – $31,728 |
| 22 | UnitedHealthcare compass case rate · outpatient | $31,728 | $31,728 | $31,728 – $31,728 |
| 23 | Molina essential plan 1 & 2 fee schedule · outpatient | $38,317 | $38,317 | $38,317 – $38,317 |
| 24 | Molina essential plan 200-250 fee schedule · outpatient | $38,317 | $38,317 | $38,317 – $38,317 |
Last updated: Sep 28, 2026
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