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
Watertown, NY
See all hospitals reporting CPT 0409T →Price type
Samaritan Medical Center’s median price of $28.0k is 25% above the median hospital's median price ($22.5k), higher than 74% 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, 8 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 | Excellus commercial professional · fee schedule · both | $525.34 | $525.34 | $525.34 – $525.34 |
| 2 | Aetna commercial facility · case rate · outpatient | $15,300 | $15,300 | $15,300 – $15,300 |
| 3 | Excellus medicare advantage facility · case rate · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 4 | WellCare medicare advantage facility · case rate · outpatient | $27,766 | $27,766 | $27,766 – $27,766 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $28,322 | $28,322 | $28,322 – $28,322 |
| 6 | UnitedHealthcare commercial facility · case rate · outpatient | $28,599 | $28,599 | $28,599 – $28,599 |
| 7 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $28,599 | $28,599 | $28,599 – $28,599 |
| 8 | Excellus commercial facility · case rate · outpatient | $127,447 | $127,447 | $127,447 – $127,447 |
Last updated: Feb 2, 2026
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