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
PR INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY
WESTFIELD, NY
See all hospitals reporting CPT 0409T →Price type
Westfield Memorial Hospital Inc’s median price of $27.6k is 23% above the median hospital's median price ($22.5k), higher than 73% 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, 28 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 united healthcare navigate nexus commercial fee schedule · outpatient | $663.12 | $663.12 | $663.12 – $663.12 |
| 2 | UnitedHealthcare united healthcare of oh medicaid fee schedule · outpatient | $699.12 | $699.12 | $699.12 – $699.12 |
| 3 | Highmark highmark together blue fee schedule · outpatient | $13,549 | $13,549 | $13,549 – $13,549 |
| 4 | UnitedHealthcare united healthcare commercial fee schedule · outpatient | $14,029 | $14,029 | $699.12 – $27,359 |
| 5 | UnitedHealthcare united healthcare chip fee schedule · outpatient | $22,271 | $22,271 | $22,271 – $22,271 |
| 6 | UnitedHealthcare united healthcare medicaid fee schedule · outpatient | $22,271 | $22,271 | $22,271 – $22,271 |
| 7 | Highmark highmark my direct blue fee schedule · outpatient | $23,183 | $23,183 | $23,183 – $23,183 |
| 8 | Highmark highmark community blue medicare ppo fee schedule · outpatient | $24,437 | $24,437 | $24,437 – $24,437 |
| 9 | Highmark highmark complete blue medicare fee schedule · outpatient | $24,437 | $24,437 | $24,437 – $24,437 |
| 10 | Highmark highmark freedom blue fee schedule · outpatient | $24,703 | $24,703 | $24,703 – $24,703 |
| 11 | Aetna aetna medicare fee schedule · outpatient | $27,624 | $27,624 | $27,624 – $27,624 |
| 12 | Highmark highmark community blue medicare hmo fee schedule · outpatient | $27,624 | $27,624 | $27,624 – $27,624 |
| 13 | Highmark highmark security blue fee schedule · outpatient | $27,624 | $27,624 | $27,624 – $27,624 |
| 14 | Highmark highmark together blue medicare fee schedule · outpatient | $27,624 | $27,624 | $27,624 – $27,624 |
| 15 | Humana humana commercial fee schedule · outpatient | $28,156 | $28,156 | $28,156 – $28,156 |
| 16 | Highmark highmark social mission indemnity fee schedule · outpatient | $28,278 | $28,278 | $28,278 – $28,278 |
| 17 | Highmark highmark social mission managed care fee schedule · outpatient | $28,278 | $28,278 | $28,278 – $28,278 |
| 18 | UnitedHealthcare united healthcare medicare i-snp fee schedule · outpatient | $28,421 | $28,421 | $28,421 – $28,421 |
| 19 | UnitedHealthcare united healthcare medicare d-snp fee schedule · outpatient | $28,687 | $28,687 | $28,687 – $28,687 |
| 20 | Molina molina ohio fee schedule · outpatient | $28,953 | $28,953 | $28,953 – $28,953 |
| 21 | Highmark highmark my blue access fee schedule · outpatient | $32,456 | $32,456 | $32,456 – $32,456 |
| 22 | Highmark highmark performance blue fee schedule · outpatient | $38,690 | $38,690 | $38,690 – $38,690 |
| 23 | Highmark highmark performance blue enhanced fee schedule · outpatient | $38,690 | $38,690 | $38,690 – $38,690 |
| 24 | Highmark highmark connect blue fee schedule · outpatient | $41,726 | $41,726 | $41,726 – $41,726 |
| 25 | Highmark highmark community blue fee schedule · outpatient | $44,045 | $44,045 | $44,045 – $44,045 |
Last updated: Apr 14, 2026
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