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
Janesville, WI
See all hospitals reporting CPT 0409T →Price type
SSM Health Care of Wisconsin, Inc’s median price of $15.6k is 31% below the median hospital's median price ($22.5k), higher than 20% 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: 2 payers, 4 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 | Blue Cross Blue Shield blue preferred/blue preferred plus hmo/pos fee schedule · outpatient | $13,711 | $13,711 | $13,711 – $13,711 |
| 2 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $14,389 | $14,389 | $14,389 – $14,389 |
| 3 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $14,389 | $14,389 | $14,389 – $14,389 |
| 4 | Molina medicare managed care plan fee schedule · outpatient | $16,804 | $16,804 | $16,804 – $16,804 |
Last updated: Apr 1, 2026
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