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
Bellevue, WA
See all hospitals reporting CPT 0409T →Price type
Overlake Medical Center & Clinics’s median price of $61.1k is 171% above the median hospital's median price ($22.5k), higher than 99% 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 | Cigna localplus other commercial plan fee schedule · outpatient | $7,297 | $7,297 | $7,297 – $7,297 |
| 2 | Cigna oap other commercial plan fee schedule · outpatient | $8,461 | $8,461 | $8,461 – $8,461 |
| 3 | Cigna ppo fee schedule · outpatient | $8,685 | $8,685 | $8,685 – $8,685 |
| 4 | Blue Cross Blue Shield premera medicare managed care plan fee schedule · outpatient | $25,830 | $25,830 | $25,830 – $25,830 |
| 5 | Aetna medicare managed care plan fee schedule · outpatient | $26,605 | $26,605 | $26,605 – $26,605 |
| 6 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $26,863 | $26,863 | $26,863 – $26,863 |
| 7 | Molina exchange fee schedule · outpatient | $46,494 | $46,494 | $46,494 – $46,494 |
| 8 | UnitedHealthcare all commercial plans fee schedule · outpatient | $47,745 | $47,745 | $28,413 – $67,076 |
| 9 | Blue Cross Blue Shield regence ump other commercial plan fee schedule · outpatient | $53,263 | $53,263 | $53,263 – $53,263 |
| 10 | Blue Cross Blue Shield regence real value exchange fee schedule · outpatient | $59,454 | $59,454 | $59,454 – $59,454 |
| 11 | Blue Cross Blue Shield premera heritage prime other commercial plan fee schedule · outpatient | $61,628 | $61,628 | $61,117 – $62,140 |
| 12 | Blue Cross Blue Shield regence all commercial plans fee schedule · outpatient | $66,060 | $66,060 | $66,060 – $66,060 |
| 13 | Kaiser all commercial plans fee schedule · outpatient | $67,933 | $67,933 | $67,933 – $67,933 |
| 14 | Blue Cross Blue Shield premera - heritage all commercial plans fee schedule · outpatient | $67,938 | $67,938 | $67,938 – $67,938 |
| 15 | Aetna all commercial plans fee schedule · outpatient | $68,470 | $68,470 | $68,470 – $68,470 |
Last updated: Apr 1, 2026
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