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
Sulphur Springs, TX
See all hospitals reporting CPT 0409T →Price type
Mother Frances Hospital - Sulphur Springs’s median price of $23.8k is 6% above the median hospital's median price ($22.5k), higher than 61% 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, 12 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 | Bcbs Tx mm fee schedule · outpatient | $23,120 | $23,120 | $23,120 – $23,120 |
| 2 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $23,120 | $23,120 | $23,120 – $23,120 |
| 3 | Humana mm fee schedule · outpatient | $23,120 | $23,120 | $23,120 – $23,120 |
| 4 | UnitedHealthcare mm fee schedule · outpatient | $23,120 | $23,120 | $23,120 – $23,120 |
| 5 | UnitedHealthcare va ccn mm fee schedule · outpatient | $23,120 | $23,120 | $23,120 – $23,120 |
| 6 | WellCare mm fee schedule · outpatient | $23,120 | $23,120 | $23,120 – $23,120 |
| 7 | Aetna mm fee schedule · outpatient | $23,351 | $23,351 | $23,351 – $23,351 |
| 8 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $34,524 | $34,524 | $34,524 – $34,524 |
| 9 | Bcbs Tx heb fee schedule · outpatient | $42,246 | $42,246 | $42,246 – $42,246 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $42,246 | $42,246 | $42,246 – $42,246 |
| 11 | Bcbs Tx ppo fee schedule · outpatient | $45,653 | $45,653 | $45,653 – $45,653 |
| 12 | Bcbs Tx traditional fee schedule · outpatient | $51,104 | $51,104 | $51,104 – $51,104 |
Last updated: Jan 12, 2026
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