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
Saint Louis, MO
See all hospitals reporting CPT 0409T →Price type
SSM-SLUH, Inc.’s median price of $1.4k is 94% below the median hospital's median price ($22.5k), higher than 4% 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: 5 payers, 14 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 anthem pathway exchange fee schedule · outpatient | $711.27 | $805.09 | $430.62 – $1,346 |
| 2 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $726.50 | $825.47 | $439.81 – $1,375 |
| 3 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $726.50 | $849.04 | $439.81 – $1,375 |
| 4 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $1,048 | $1,013 | $474.07 – $1,481 |
| 5 | Aetna carelink all commercial plans fee schedule · outpatient | $3,656 | $3,656 | $3,656 – $3,656 |
| 6 | Aetna all commercial plans fee schedule · outpatient | $5,646 | $5,646 | $5,646 – $5,646 |
| 7 | UnitedHealthcare employee fee schedule · outpatient | $11,806 | $11,806 | $11,806 – $11,806 |
| 8 | UnitedHealthcare non-ppo other commercial plan fee schedule · outpatient | $13,499 | $13,499 | $13,499 – $13,499 |
| 9 | UnitedHealthcare options ppo fee schedule · outpatient | $15,733 | $15,733 | $15,733 – $15,733 |
| 10 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $21,834 | $21,834 | $21,834 – $21,834 |
| 11 | Aetna medicare managed care plan fee schedule · outpatient | $22,279 | $22,279 | $22,279 – $22,279 |
| 12 | Humana medicare managed care plan fee schedule · outpatient | $22,658 | $22,658 | $22,658 – $22,658 |
| 13 | Aetna advantra medicare managed care plan fee schedule · outpatient | $22,725 | $22,725 | $22,725 – $22,725 |
| 14 | Oscar exchange fee schedule · outpatient | $26,735 | $26,735 | $26,735 – $26,735 |
Last updated: Apr 1, 2026
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