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
Oklahoma City, OK
See all hospitals reporting CPT 0409T →Price type
SSM Health Care of Oklahoma, Inc’s median price of $32.3k is 43% above the median hospital's median price ($22.5k), higher than 82% 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, 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 | Medica exchange fee schedule · outpatient | $18,128 | $18,128 | $555.61 – $35,701 |
| 2 | Blue Cross Blue Shield medicare managed care plan fee schedule · outpatient | $21,393 | $21,393 | $21,393 – $21,393 |
| 3 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $21,710 | $21,710 | $21,710 – $21,710 |
| 4 | Humana medicare managed care plan fee schedule · outpatient | $21,757 | $21,757 | $21,757 – $21,757 |
| 5 | Blue Cross Blue Shield native blue hmo fee schedule · outpatient | $22,035 | $22,035 | $22,035 – $22,035 |
| 6 | Oscar all commercial plans fee schedule · outpatient | $28,143 | $28,143 | $28,143 – $28,143 |
| 7 | Ambetter exchange fee schedule · outpatient | $28,881 | $28,881 | $28,881 – $28,881 |
| 8 | UnitedHealthcare all commercial plans fee schedule · outpatient | $63,541 | $63,541 | $63,541 – $63,541 |
Last updated: Apr 1, 2026
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