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
Olympia, WA
See all hospitals reporting CPT 0409T →Price type
Providence Health And Services - Washington’s median price of $44.6k is 98% above the median hospital's median price ($22.5k), higher than 93% 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: 7 payers, 18 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 all commercial plans fee schedule · outpatient | $3,484 | $3,484 | $3,484 – $3,484 |
| 2 | Aetna all commercial plans fee schedule · outpatient | $12,758 | $12,758 | $12,758 – $12,758 |
| 3 | Kaiser medicare managed care plan fee schedule · outpatient | $25,582 | $25,582 | $25,582 – $25,582 |
| 4 | Aetna gatekeeper medicare managed care - hmo fee schedule · outpatient | $26,349 | $26,349 | $26,349 – $26,349 |
| 5 | Aetna non-gatekeeper medicare managed care - ppo fee schedule · outpatient | $26,605 | $26,605 | $26,605 – $26,605 |
| 6 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $27,373 | $27,373 | $27,373 – $27,373 |
| 7 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $27,628 | $27,628 | $27,628 – $27,628 |
| 8 | Humana medicare managed care plan fee schedule · outpatient | $28,140 | $28,140 | $28,140 – $28,140 |
| 9 | Molina exchange fee schedule · outpatient | $43,233 | $43,233 | $43,233 – $43,233 |
| 10 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $46,047 | $46,047 | $46,047 – $46,047 |
| 11 | UnitedHealthcare navigate other commercial plan fee schedule · outpatient | $46,851 | $46,851 | $21,745 – $71,957 |
| 12 | Blue Cross Blue Shield regence uniform medical plan other commercial plan fee schedule · outpatient | $52,398 | $52,398 | $52,398 – $52,398 |
| 13 | UnitedHealthcare aco tiered other commercial plan fee schedule · outpatient | $58,149 | $58,149 | $30,698 – $85,599 |
| 14 | Blue Cross Blue Shield premera heritage signature other commercial plan fee schedule · outpatient | $72,247 | $72,247 | $72,247 – $72,247 |
| 15 | Blue Cross Blue Shield premera all commercial plans fee schedule · outpatient | $73,854 | $73,854 | $73,854 – $73,854 |
| 16 | Blue Cross Blue Shield regence all commercial plans fee schedule · outpatient | $80,391 | $80,391 | $80,391 – $80,391 |
| 17 | Kaiser all commercial plans fee schedule · outpatient | $81,402 | $81,402 | $81,402 – $81,402 |
| 18 | UnitedHealthcare all commercial plans fee schedule · outpatient | $99,942 | $99,942 | $99,942 – $99,942 |
Last updated: Apr 1, 2026
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