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
Woodbridge, VA
See all hospitals reporting CPT 0409T →Price type
Potomac Hospital Corporation of Prince William’s median price of $24.1k 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, 10 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 medicare managed care plan facility · fee schedule · outpatient | $22,137 | $22,137 | $22,137 – $22,137 |
| 2 | Carefirst hmo facility · fee schedule · outpatient | $22,146 | $22,146 | $22,146 – $22,146 |
| 3 | Humana medicare managed care plan facility · fee schedule · outpatient | $22,354 | $22,354 | $22,354 – $22,354 |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan facility · fee schedule · outpatient | $22,734 | $22,734 | $22,734 – $22,734 |
| 5 | UnitedHealthcare dsnp medicare managed care plan facility · fee schedule · outpatient | $22,788 | $22,788 | $22,788 – $22,788 |
| 6 | Carefirst ppo facility · fee schedule · outpatient | $25,468 | $25,468 | $25,468 – $25,468 |
| 7 | Blue Cross Blue Shield anthem exchange facility · fee schedule · outpatient | $44,645 | $44,645 | $44,645 – $44,645 |
| 8 | Blue Cross Blue Shield anthem hmo facility · fee schedule · outpatient | $48,006 | $48,006 | $48,006 – $48,006 |
| 9 | Blue Cross Blue Shield anthem ppo facility · fee schedule · outpatient | $51,283 | $51,283 | $51,283 – $51,283 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $55,442 | $55,442 | $55,442 – $55,442 |
Last updated: Apr 1, 2026
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