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
Dallas, TX
See all hospitals reporting CPT 0409T →Price type
The University of Texas Southwestern Medical Center at Dallas’s median price of $23.3k is 4% above the median hospital's median price ($22.5k), higher than 58% 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, 19 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 hmo fee schedule · both | $252.63 | $252.63 | $252.63 – $252.63 |
| 2 | Blue Cross Blue Shield mybluehealth fee schedule · both | $252.63 | $252.63 | $252.63 – $252.63 |
| 3 | Blue Cross Blue Shield ppo fee schedule · both | $252.63 | $252.63 | $252.63 – $252.63 |
| 4 | Blue Cross Blue Shield traditional fee schedule · both | $252.63 | $252.63 | $252.63 – $252.63 |
| 5 | UnitedHealthcare medicare advantage ppo fee schedule · both | $375.98 | $375.98 | $375.98 – $375.98 |
| 6 | UnitedHealthcare medicare advantage hmo fee schedule · both | $411.79 | $411.79 | $411.79 – $411.79 |
| 7 | Aetna hmo/pos/epo/ppo fee schedule · both | $1,009 | $1,009 | $1,009 – $1,009 |
| 8 | Aetna whole health fee schedule · both | $1,009 | $1,009 | $1,009 – $1,009 |
| 9 | UnitedHealthcare commercial fee schedule · both | $1,046 | $1,046 | $1,046 – $1,046 |
| 10 | Humana medicare advantage fee schedule · outpatient | $23,344 | $23,344 | $23,344 – $23,344 |
| 11 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $23,569 | $23,569 | $23,569 – $23,569 |
| 12 | Molina medicare advantage fee schedule · outpatient | $23,569 | $23,569 | $23,569 – $23,569 |
| 13 | UnitedHealthcare medicare advantage ppo fee schedule · outpatient | $24,915 | $24,915 | $24,915 – $24,915 |
| 14 | UnitedHealthcare medicare advantage hmo fee schedule · outpatient | $25,364 | $25,364 | $25,364 – $25,364 |
| 15 | UnitedHealthcare commercial case rate · outpatient | $36,039 | $36,039 | $36,039 – $36,039 |
| 16 | Blue Cross Blue Shield mybluehealth case rate · outpatient | $64,913 | $64,913 | $64,913 – $64,913 |
| 17 | Blue Cross Blue Shield traditional case rate · outpatient | $88,330 | $88,330 | $88,330 – $88,330 |
| 18 | Blue Cross Blue Shield hmo case rate · outpatient | $90,306 | $90,306 | $90,306 – $90,306 |
| 19 | Blue Cross Blue Shield ppo case rate · outpatient | $100,346 | $100,346 | $100,346 – $100,346 |
Last updated: Mar 10, 2026
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