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
Gloucester, VA
See all hospitals reporting CPT 0409T →Price type
Riverside Middle Peninsula Hospital, Inc’s median price of $30.3k is 34% above the median hospital's median price ($22.5k), higher than 79% 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: 4 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 | UnitedHealthcare medicare advantage fee schedule · outpatient | $21,861 | $21,861 | $21,861 – $21,861 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $22,075 | $22,075 | $22,075 – $22,075 |
| 3 | Anthem medicare advantage fee schedule · outpatient | $22,075 | $22,075 | $22,075 – $22,075 |
| 4 | Humana medicare advantage fee schedule · outpatient | $22,075 | $22,075 | $22,075 – $22,075 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $30,253 | $30,253 | $30,253 – $30,253 |
| 6 | Anthem managed medicaid fee schedule · outpatient | $30,253 | $30,253 | $30,253 – $30,253 |
| 7 | UnitedHealthcare managed medicaid fee schedule · outpatient | $30,253 | $30,253 | $30,253 – $30,253 |
| 8 | Humana managed medicaid fee schedule · outpatient | $31,765 | $31,765 | $31,765 – $31,765 |
| 9 | Anthem hmo products fee schedule · outpatient | $74,599 | $74,599 | $74,599 – $74,599 |
| 10 | Anthem ppo products fee schedule · outpatient | $85,056 | $85,056 | $85,056 – $85,056 |
Last updated: Jan 2, 2026
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