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
Santa Fe, NM
See all hospitals reporting CPT 0409T →Price type
St. Vincent Regional Medical Center’s median price of $23.7k is 5% above the median hospital's median price ($22.5k), higher than 60% 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: 8 payers, 15 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 km fee schedule · outpatient | $21,930 | $21,930 | $21,930 – $21,930 |
| 2 | UnitedHealthcare km fee schedule · outpatient | $21,930 | $21,930 | $21,930 – $21,930 |
| 3 | Aetna mm fee schedule · outpatient | $23,687 | $23,687 | $23,687 – $23,687 |
| 4 | Humana medicare mm fee schedule · outpatient | $23,687 | $23,687 | $23,687 – $23,687 |
| 5 | Humana mm fee schedule · outpatient | $23,687 | $23,687 | $23,687 – $23,687 |
| 6 | Humana senior health plan mm fee schedule · outpatient | $23,687 | $23,687 | $23,687 – $23,687 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $23,687 | $23,687 | $23,687 – $23,687 |
| 8 | UnitedHealthcare va ccn mm fee schedule · outpatient | $23,687 | $23,687 | $23,687 – $23,687 |
| 9 | Molina km fee schedule · outpatient | $24,123 | $24,123 | $24,123 – $24,123 |
| 10 | Blue Cross Blue Shield mm fee schedule · outpatient | $24,160 | $24,160 | $24,160 – $24,160 |
| 11 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $24,397 | $24,397 | $24,397 – $24,397 |
| 12 | Devoted mm fee schedule · outpatient | $24,871 | $24,871 | $24,871 – $24,871 |
| 13 | Molina medicare adv mm fee schedule · outpatient | $24,871 | $24,871 | $24,871 – $24,871 |
| 14 | Molina mm fee schedule · outpatient | $24,871 | $24,871 | $24,871 – $24,871 |
| 15 | Ambetter western sky hix fee schedule · outpatient | $47,373 | $47,373 | $47,373 – $47,373 |
Last updated: Jan 13, 2026
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