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
Rock Island, IL
See all hospitals reporting CPT 0409T →Price type
Trinity Medical Center’s median price of $24.6k is 9% above the median hospital's median price ($22.5k), higher than 65% 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, 14 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 | Cigna commercial fee schedule · both | $427.34 | $427.34 | $427.34 – $427.34 |
| 2 | UnitedHealthcare hmo fee schedule · both | $1,067 | $1,067 | $1,067 – $1,067 |
| 3 | UnitedHealthcare ppo fee schedule · both | $1,067 | $1,067 | $1,067 – $1,067 |
| 4 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $23,398 | $23,398 | $23,398 – $23,398 |
| 5 | Aetna medicare advantage case rate · outpatient | $23,866 | $23,866 | $23,866 – $23,866 |
| 6 | Molina mmai medicare advantage case rate · outpatient | $23,866 | $23,866 | $23,866 – $23,866 |
| 7 | Wellmark medicare advantage case rate · outpatient | $23,866 | $23,866 | $23,866 – $23,866 |
| 8 | Humana medicare advantage case rate · outpatient | $24,568 | $24,568 | $24,568 – $24,568 |
| 9 | UnitedHealthcare medicare advantage case rate · outpatient | $24,568 | $24,568 | $24,568 – $24,568 |
| 10 | Ambetter hmo case rate · outpatient | $37,437 | $37,437 | $37,437 – $37,437 |
| 11 | Aetna hmo fee schedule · outpatient | $56,638 | $56,638 | $56,638 – $56,638 |
| 12 | UnitedHealthcare hmo fee schedule · outpatient | $58,904 | $58,904 | $58,904 – $58,904 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $58,904 | $58,904 | $58,904 – $58,904 |
| 14 | Aetna ppo fee schedule · outpatient | $63,687 | $63,687 | $63,687 – $63,687 |
Last updated: Jan 28, 2026
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