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
Tyler, TX
See all hospitals reporting CPT 0409T →Price type
Mother Frances Hospital - South Tyler’s median price of $21.9k is 3% below the median hospital's median price ($22.5k), higher than 40% 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: 6 payers, 17 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 | Cigna new business case rate · outpatient | $2,050 | $2,050 | $2,050 – $2,050 |
| 2 | Humana choicecare case rate · outpatient | $2,407 | $2,407 | $2,407 – $2,407 |
| 3 | Cigna ppo case rate · outpatient | $8,200 | $8,200 | $8,200 – $8,200 |
| 4 | Aetna mm fee schedule · outpatient | $21,217 | $21,217 | $21,217 – $21,217 |
| 5 | Bcbs Tx mm fee schedule · outpatient | $21,217 | $21,217 | $21,217 – $21,217 |
| 6 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $21,217 | $21,217 | $21,217 – $21,217 |
| 7 | Humana mm fee schedule · outpatient | $21,217 | $21,217 | $21,217 – $21,217 |
| 8 | UnitedHealthcare mm fee schedule · outpatient | $21,217 | $21,217 | $21,217 – $21,217 |
| 9 | UnitedHealthcare va ccn mm fee schedule · outpatient | $21,217 | $21,217 | $21,217 – $21,217 |
| 10 | WellCare mm fee schedule · outpatient | $21,217 | $21,217 | $21,217 – $21,217 |
| 11 | UnitedHealthcare hix case rate · outpatient | $28,319 | $28,319 | $28,319 – $28,319 |
| 12 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $29,073 | $29,073 | $29,073 – $29,073 |
| 13 | UnitedHealthcare all payer case rate · outpatient | $31,908 | $31,908 | $31,908 – $31,908 |
| 14 | Bcbs Tx hmo fee schedule · outpatient | $34,296 | $34,296 | $34,296 – $34,296 |
| 15 | Bcbs Tx heb fee schedule · outpatient | $34,751 | $34,751 | $34,751 – $34,751 |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $37,476 | $37,476 | $37,476 – $37,476 |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $39,975 | $39,975 | $39,975 – $39,975 |
Last updated: Jan 12, 2026
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