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
Evergreen Park, IL
See all hospitals reporting CPT 0409T →Price type
OSF Healthcare System’s median price of $24.2k is 7% above the median hospital's median price ($22.5k), higher than 63% 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: 5 payers, 6 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 all commercial plans fee schedule · outpatient | $3,274 | $3,274 | $3,274 – $3,274 |
| 2 | UnitedHealthcare all commercial plans fee schedule · outpatient | $12,216 | $12,216 | $12,216 – $12,216 |
| 3 | WellCare medicare managed care plan fee schedule · outpatient | $24,075 | $24,075 | $24,075 – $24,075 |
| 4 | Aetna medicare managed care plan fee schedule · outpatient | $24,313 | $24,313 | $24,313 – $24,313 |
| 5 | Molina exchange fee schedule · outpatient | $33,371 | $33,371 | $33,371 – $33,371 |
| 6 | Blue Cross Blue Shield choice ppo fee schedule · outpatient | $44,336 | $44,336 | $44,336 – $44,336 |
Last updated: Mar 31, 2026
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