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
Spokane, 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: 5 payers, 14 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 | $2,985 | $2,985 | $2,985 – $2,985 |
| 2 | Aetna all commercial plans fee schedule · outpatient | $19,564 | $19,564 | $19,564 – $19,564 |
| 3 | Kaiser medicare managed care plan fee schedule · outpatient | $24,787 | $24,787 | $24,787 – $24,787 |
| 4 | Blue Cross Blue Shield premera medicare managed care plan fee schedule · outpatient | $25,778 | $25,778 | $25,778 – $25,778 |
| 5 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $26,522 | $26,522 | $26,522 – $26,522 |
| 6 | Blue Cross Blue Shield asuris medicare managed care plan fee schedule · outpatient | $26,770 | $26,770 | $26,770 – $26,770 |
| 7 | Blue Cross Blue Shield premera - lifewise health plan of washington affordable care network other commercial plan fee schedule · outpatient | $44,617 | $44,617 | $44,617 – $44,617 |
| 8 | UnitedHealthcare aco tiered other commercial plan fee schedule · outpatient | $46,314 | $46,314 | $29,744 – $62,884 |
| 9 | Blue Cross Blue Shield premera heritage exchange fee schedule · outpatient | $52,306 | $52,306 | $52,306 – $52,306 |
| 10 | Blue Cross Blue Shield premera all commercial plans fee schedule · outpatient | $66,927 | $66,927 | $66,927 – $66,927 |
| 11 | Kaiser all commercial plans fee schedule · outpatient | $76,294 | $76,294 | $76,294 – $76,294 |
| 12 | UnitedHealthcare navigate exchange fee schedule · outpatient | $88,148 | $88,148 | $88,148 – $88,148 |
| 13 | Blue Cross Blue Shield asuris all commercial plans fee schedule · outpatient | $88,249 | $88,249 | $88,249 – $88,249 |
| 14 | UnitedHealthcare all commercial plans fee schedule · outpatient | $90,874 | $90,874 | $90,874 – $90,874 |
Last updated: Apr 1, 2026
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