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
Bryn Mawr, PA
See all hospitals reporting CPT 0409T →Price type
The Bryn Mawr Hospital’s median price of $24.7k is 9% above the median hospital's median price ($22.5k), higher than 66% 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, 10 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 | Aetna custom - pebtf/rehp hmo facility · fee schedule · outpatient | $9,355 | $9,355 | $9,355 – $9,355 |
| 2 | Aetna hmo facility · fee schedule · outpatient | $12,472 | $12,472 | $12,472 – $12,472 |
| 3 | Aetna ppo facility · fee schedule · outpatient | $12,472 | $12,472 | $12,472 – $12,472 |
| 4 | Blue Cross Blue Shield ibc advantage medicare managed care - hmo facility · fee schedule · outpatient | $23,046 | $23,046 | $23,046 – $23,046 |
| 5 | Humana medicare managed care plan facility · fee schedule · outpatient | $23,507 | $23,507 | $23,507 – $23,507 |
| 6 | Devoted medicare managed care plan facility · fee schedule · outpatient | $24,659 | $24,659 | $24,659 – $24,659 |
| 7 | Aetna advantra medicare managed care plan facility · fee schedule · outpatient | $25,120 | $25,120 | $25,120 – $25,120 |
| 8 | Highmark medicare managed care plan facility · fee schedule · outpatient | $25,581 | $25,581 | $25,581 – $25,581 |
| 9 | UnitedHealthcare advantage group medicare managed care plan facility · fee schedule · outpatient | $25,719 | $25,719 | $25,719 – $25,719 |
| 10 | Blue Cross Blue Shield dvaco other commercial plan facility · fee schedule · outpatient | $28,807 | $28,807 | $28,807 – $28,807 |
Last updated: Apr 1, 2026
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