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
HC INSJ/RPLC CAR MODULJ PLS GN
Philadelphia, PA
See all hospitals reporting CPT 0409T →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $36.6k is 63% above the median hospital's median price ($22.5k), higher than 87% 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: 14 payers, 37 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 Nj horizon blue cross of nj- hmo pos and direct access facility · other · outpatient | $9,531 | $9,531 | $9,531 – $9,531 |
| 2 | Aetna aetna hmo facility · other · outpatient | $9,822 | $9,822 | $9,822 – $9,822 |
| 3 | Aetna aetna ppo facility · other · outpatient | $9,822 | $9,822 | $9,822 – $9,822 |
| 4 | Aetna aetna commercial facility · other · outpatient | $10,398 | $10,398 | $10,398 – $10,398 |
| 5 | Aetna aetna commercial hmo with capitation facility · other · outpatient | $10,398 | $10,398 | $10,398 – $10,398 |
| 6 | Cigna cigna new business facility · case rate · outpatient | $14,061 | $14,061 | $14,061 – $14,061 |
| 7 | UnitedHealthcare unitedhealthcare compass exchange facility · other · outpatient | $14,300 | $14,300 | $14,300 – $14,300 |
| 8 | Bcbs Nj horizon blue cross of nj-indemnity facility · fee schedule · outpatient | $14,561 | $14,561 | $14,561 – $14,561 |
| 9 | Bcbs Nj horizon blue cross of nj-ppo facility · fee schedule · outpatient | $14,561 | $14,561 | $14,561 – $14,561 |
| 10 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $23,265 | $23,265 | $23,265 – $23,265 |
| 11 | Medicare medicare facility · fee schedule · outpatient | $23,265 | $23,265 | $23,265 – $23,265 |
| 12 | Highmark highmark medicare advantage facility · other · outpatient | $23,731 | $23,731 | $23,731 – $23,731 |
| 13 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $23,963 | $23,963 | $23,963 – $23,963 |
| 14 | Humana humana medicare facility · other · outpatient | $23,963 | $23,963 | $23,963 – $23,963 |
| 15 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $24,661 | $24,661 | $24,661 – $24,661 |
| 16 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $24,661 | $24,661 | $24,661 – $24,661 |
| 17 | Clover clover health plan facility · other · outpatient | $25,127 | $25,127 | $25,127 – $25,127 |
| 18 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $26,974 | $26,974 | $26,974 – $26,974 |
| 19 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $27,101 | $27,101 | $27,101 – $27,101 |
| 20 | UnitedHealthcare unitedhealthcare new business facility · case rate · outpatient | $30,381 | $30,381 | $30,381 – $30,381 |
| 21 | Blue Cross Blue Shield ibc traditional facility · other · outpatient | $32,831 | $32,831 | $32,831 – $32,831 |
| 22 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · other · outpatient | $33,015 | $33,015 | $33,015 – $33,015 |
| 23 | Blue Cross Blue Shield personal choice-ibc ppo facility · other · outpatient | $33,015 | $33,015 | $33,015 – $33,015 |
| 24 | Oscar oscar health plan facility · other · outpatient | $39,551 | $39,551 | $39,551 – $39,551 |
| 25 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $40,008 | $40,008 | $40,008 – $40,008 |
Last updated: Mar 20, 2026
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