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
Lake Charles, LA
See all hospitals reporting CPT 0409T →Price type
Ochsner St. Patrick Hospital’s median price of $20.7k is 8% below the median hospital's median price ($22.5k), higher than 30% 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, 15 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 new business case rate · outpatient | $3,886 | $3,886 | $3,886 – $3,886 |
| 2 | Aetna ppo case rate · outpatient | $4,572 | $4,572 | $4,572 – $4,572 |
| 3 | Humana choicecare other · outpatient | $5,221 | $5,221 | $5,221 – $5,221 |
| 4 | Cigna ppo case rate · outpatient | $5,955 | $5,955 | $5,955 – $5,955 |
| 5 | Aetna mm fee schedule · outpatient | $20,741 | $20,741 | $20,741 – $20,741 |
| 6 | Bcbs La mm fee schedule · outpatient | $20,741 | $20,741 | $20,741 – $20,741 |
| 7 | Humana bh mm fee schedule · outpatient | $20,741 | $20,741 | $20,741 – $20,741 |
| 8 | Humana gold choice mm fee schedule · outpatient | $20,741 | $20,741 | $20,741 – $20,741 |
| 9 | UnitedHealthcare va ccn mm fee schedule · outpatient | $20,741 | $20,741 | $20,741 – $20,741 |
| 10 | UnitedHealthcare mm fee schedule · outpatient | $21,156 | $21,156 | $21,156 – $21,156 |
| 11 | WellCare mm fee schedule · outpatient | $21,778 | $21,778 | $21,778 – $21,778 |
| 12 | UnitedHealthcare all payer case rate · outpatient | $23,090 | $23,090 | $23,090 – $23,090 |
| 13 | Bcbs La hmo fee schedule · outpatient | $50,175 | $50,175 | $50,175 – $50,175 |
| 14 | Bcbs La ppo fee schedule · outpatient | $50,175 | $50,175 | $50,175 – $50,175 |
| 15 | Bcbs La trad fee schedule · outpatient | $50,175 | $50,175 | $50,175 – $50,175 |
Last updated: Jan 13, 2026
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