CPT 0164U
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
GI IBS IA ANTI-CDTB&VINCULIN
Prices here combine facility and professional fees. See them separately →Experimental
Low
$57
Average
$141
Median
$117
High
$638
Showing only prices reported under the case rate methodology. Choose another in the filter below to change the chart. 144 hospitals; the 90th percentile is 2.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | USA Health University Hospital Mobile, AL | $112 | $117 | $12 | 10% | — | $110 – $151 |
| 2 | Deaconess Hospital, Inc Newburgh, IN | $112 | $123 | $22 | 18% | — | $112 – $168 |
| 3 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX | $118 | $118 | $5 | 4% | — | $112 – $127 |
| 4 | Baptist Medical Center of the Beaches, INC Beach, FL | $89 | $90 | $6 | 7% | — | $81 – $97 |
| 5 | Mahnomen Health Center Mahnomen, MN | $118 | $116 | $3 | 2% | — | $112 – $118 |
| 6 | Sanford USD Medical Center Sioux Falls, SD | $115 | $114 | $3 | 3% | — | $106 – $118 |
| 7 | Gundersen Luthern Medical Center Inc La Crosse, WI | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Clovis Community Medical Center Clovis, CA | $112 | $121 | $27 | 22% | — | $112 – $241 |
| 9 | Jefferson County Hospital OK Waurika, OK | $638 | $638 | — | — | — | $638 – $638 |
| 10 | Sauk Prairie Healthcare Prairie du Sac, WI | $112 | $230 | $176 | 77% | — | $112 – $630 |
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