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: 6 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 | Cigna all commercial plans fee schedule · outpatient | $5,419 | $5,419 | $5,419 – $5,419 |
| 2 | Kaiser medicare managed care plan fee schedule · outpatient | $24,787 | $24,787 | $24,787 – $24,787 |
| 3 | Aetna medicare managed care - hmo fee schedule · outpatient | $25,531 | $25,531 | $25,531 – $25,531 |
| 4 | Aetna medicare managed care - ppo fee schedule · outpatient | $25,778 | $25,778 | $25,778 – $25,778 |
| 5 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $26,026 | $26,026 | $26,026 – $26,026 |
| 6 | Blue Cross Blue Shield asuris medicare managed care plan fee schedule · outpatient | $26,770 | $26,770 | $26,770 – $26,770 |
| 7 | Cigna medicare managed care plan fee schedule · outpatient | $29,744 | $29,744 | $29,744 – $29,744 |
| 8 | Aetna all commercial plans fee schedule · outpatient | $35,803 | $35,803 | $35,803 – $35,803 |
| 9 | Molina exchange fee schedule · outpatient | $41,890 | $41,890 | $41,890 – $41,890 |
| 10 | 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 |
| 11 | Blue Cross Blue Shield premera heritage signature exchange fee schedule · outpatient | $47,348 | $47,348 | $47,348 – $47,348 |
| 12 | Blue Cross Blue Shield premera all commercial plans fee schedule · outpatient | $61,183 | $61,183 | $61,183 – $61,183 |
| 13 | Blue Cross Blue Shield asuris all commercial plans fee schedule · outpatient | $62,186 | $62,186 | $62,186 – $62,186 |
| 14 | Kaiser all commercial plans fee schedule · outpatient | $62,488 | $62,488 | $62,488 – $62,488 |
| 15 | UnitedHealthcare aco tiered other commercial plan fee schedule · outpatient | $66,863 | $66,863 | $66,863 – $66,863 |
| 16 | UnitedHealthcare navigate exchange fee schedule · outpatient | $73,140 | $73,140 | $73,140 – $73,140 |
| 17 | UnitedHealthcare all commercial plans fee schedule · outpatient | $82,231 | $82,231 | $82,231 – $82,231 |
Last updated: Apr 1, 2026
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