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
HC INS/RPLC CCM; GEN ONLY
Somerset, PA
See all hospitals reporting CPT 0409T →Price type
UPMC Somerset’s median price of $34.4k is 53% above the median hospital's median price ($22.5k), higher than 84% 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, 13 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 pa medicaid facility · fee schedule · outpatient | $16,007 | $16,007 | $16,007 – $16,007 |
| 2 | Highmark community blue medicare advantage/complete blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $21,186 | $21,186 | $21,186 – $21,186 |
| 3 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $21,400 | $21,400 | $21,400 – $21,400 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $21,400 | $21,400 | $21,400 – $21,400 |
| 5 | Highmark medicare facility · fee schedule · outpatient | $23,110 | $23,110 | $23,110 – $23,110 |
| 6 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $31,738 | $31,738 | $31,738 – $31,738 |
| 7 | Aetna tpa/carrier facility · percent of total billed charges · outpatientfrom % of charges | $34,428 | $34,428 | $34,428 – $34,428 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $37,097 | $37,097 | $37,097 – $37,097 |
| 9 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $40,172 | $40,172 | $40,172 – $40,172 |
| 10 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $43,036 | $43,036 | $43,036 – $43,036 |
| 11 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $55,946 | $55,946 | $55,946 – $55,946 |
| 12 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $64,553 | $64,553 | $64,553 – $64,553 |
| 13 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $64,553 | $64,553 | $64,553 – $64,553 |
Last updated: Mar 6, 2026
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