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
Jackson, GA
See all hospitals reporting CPT 0409T →Price type
Wellstar Sylvan Grove Hospital’s median price of $68.3k is 203% above the median hospital's median price ($22.5k), higher than 100% 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: 3 payers, 4 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 hmo/pos/ppo facility · fee schedule · outpatient | $9,000 | $9,000 | $9,000 – $9,000 |
| 2 | Blue Cross Blue Shield shbp other commercial plan facility · fee schedule · outpatient | $66,534 | $66,534 | $66,534 – $66,534 |
| 3 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $70,119 | $70,119 | $70,119 – $70,119 |
| 4 | Blue Cross Blue Shield hmo/pos facility · fee schedule · outpatient | $84,295 | $84,295 | $84,295 – $84,295 |
Last updated: Apr 1, 2026
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