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
Providence, RI
See all hospitals reporting CPT 0409T →Price type
The Miriam Hospital’s median price of $45.7k is 103% above the median hospital's median price ($22.5k), higher than 94% 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: 4 payers, 8 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 | UnitedHealthcare rite care other commercial plan facility · fee schedule · outpatient | $17,189 | $17,189 | $17,189 – $17,189 |
| 2 | Blue Cross Blue Shield medicare managed care plan facility · fee schedule · outpatient | $21,709 | $21,709 | $21,709 – $21,709 |
| 3 | Blue Cross Blue Shield medicare managed care plan - dual (d-snp) facility · fee schedule · outpatient | $25,009 | $25,009 | $25,009 – $25,009 |
| 4 | Aetna medicare managed care plan facility · fee schedule · outpatient | $25,572 | $25,572 | $25,572 – $25,572 |
| 5 | Blue Cross Blue Shield hmo facility · fee schedule · outpatient | $45,765 | $45,765 | $45,765 – $45,765 |
| 6 | Blue Cross Blue Shield ppo facility · fee schedule · outpatient | $50,850 | $50,850 | $50,850 – $50,850 |
| 7 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $59,033 | $59,033 | $59,033 – $59,033 |
| 8 | Cigna hmo/ppo facility · fee schedule · outpatient | $140,457 | $140,457 | $140,457 – $140,457 |
Last updated: Apr 1, 2026
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