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
Atlanta, TX
See all hospitals reporting CPT 0409T →Price type
St. Michael Hospital - Atlanta’s median price of $22.9k is 2% above the median hospital's median price ($22.5k), higher than 55% 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: 7 payers, 16 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 | Humana choicecare other · outpatient | $6,159 | $6,159 | $6,159 – $6,159 |
| 2 | Cigna ppo case rate · outpatient | $7,190 | $7,190 | $7,190 – $7,190 |
| 3 | Aetna ppo case rate · outpatient | $9,575 | $9,575 | $9,575 – $9,575 |
| 4 | Healthcare Highways ppo case rate · outpatient | $12,198 | $12,198 | $12,198 – $12,198 |
| 5 | Aetna mm fee schedule · outpatient | $22,035 | $22,035 | $22,035 – $22,035 |
| 6 | Bcbs Tx mm fee schedule · outpatient | $22,035 | $22,035 | $22,035 – $22,035 |
| 7 | Humana choicecare network mm fee schedule · outpatient | $22,035 | $22,035 | $22,035 – $22,035 |
| 8 | Molina medicare adv mm fee schedule · outpatient | $22,035 | $22,035 | $22,035 – $22,035 |
| 9 | UnitedHealthcare mm fee schedule · outpatient | $22,035 | $22,035 | $22,035 – $22,035 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $24,757 | $24,757 | $24,757 – $24,757 |
| 11 | Bcbs Tx traditional fee schedule · outpatient | $26,801 | $26,801 | $26,801 – $26,801 |
| 12 | UnitedHealthcare hix case rate · outpatient | $27,468 | $27,468 | $27,468 – $27,468 |
| 13 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $27,483 | $27,483 | $27,483 – $27,483 |
| 14 | Bcbs Tx ppo fee schedule · outpatient | $35,886 | $35,886 | $35,886 – $35,886 |
| 15 | UnitedHealthcare all payer case rate · outpatient | $42,673 | $42,673 | $42,673 – $42,673 |
| 16 | Bcbs Tx heb fee schedule · outpatient | $60,189 | $60,189 | $60,189 – $60,189 |
Last updated: Jan 13, 2026
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