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
Louisville, TN
See all hospitals reporting CPT 0409T →Price type
Parkwest Medical Center’s median price of $21.2k is 6% below the median hospital's median price ($22.5k), higher than 35% 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: 9 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 | Aetna commercial fee schedule · outpatient | $381.21 | $381.21 | $381.21 – $381.21 |
| 2 | Ambetter exchange case rate · outpatient | $2,009 | $2,009 | $2,009 – $2,009 |
| 3 | Optum va ccn fee schedule · outpatient | $20,181 | $20,181 | $20,181 – $20,181 |
| 4 | Tricare humana military fee schedule · outpatient | $20,181 | $20,181 | $20,181 – $20,181 |
| 5 | Humana dsnp fee schedule · outpatient | $20,786 | $20,786 | $20,786 – $20,786 |
| 6 | Humana medicare advantage fee schedule · outpatient | $20,786 | $20,786 | $20,786 – $20,786 |
| 7 | Blue Cross Blue Shield blueessential dsnp fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 8 | Blue Cross Blue Shield blueessential hmo fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 9 | Blue Cross Blue Shield med adv diamond fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 10 | Blue Cross Blue Shield med adv ppo fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 11 | Blue Cross Blue Shield med adv ruby fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 12 | Blue Cross Blue Shield med adv sapphire fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 13 | Cigna medicare hmo-pos fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 14 | Cigna medicare ppo fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 15 | Devoted hmo fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 16 | Devoted ppo fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
| 17 | WellCare medicare advantage fee schedule · outpatient | $21,190 | $21,190 | $21,190 – $21,190 |
Last updated: Aug 5, 2026
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