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
Nudt15&tpmt gene com vrnt
The hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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61 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $267.32 | $158.48 – $466.11 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $267.32 | $158.48 – $466.11 |
| 3 | Banner Community Hospital Torrington, WY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $978.60 | $629.55 – $1,328 |
| 4 | Banner Fort Collins Medical Center Fort Collins, CO facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 5 | Banner Fort Collins Medical Center Fort Collins, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,165 | $1,165 – $1,165 |
| 6 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 7 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,165 | $1,165 – $1,165 |
| 8 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 9 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,165 | $1,165 – $1,165 |
| 10 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $974.41 | $615.56 – $1,333 |
| 11 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,259 | $1,259 – $1,259 |
| 12 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $769.13 | $769.13 – $769.13 |
| 13 | Duncan Regional Hospital Duncan, OK fee schedule · outpatient | 1 | $279.70 | $279.70 – $279.70 |
| 14 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $883.47 | $601.57 – $1,165 |
| 15 | Essentia Health Ada 201 9th St W Ada, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 16 | Essentia Health Deer River 115 10th Ave NE Deer River, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 17 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 18 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 19 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 20 | Essentia Health Holy Trinity Hospital Graceville, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 21 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 22 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 23 | Essentia Health St Marys Hospital-Superior 3500 Tower Ave Superior, WI facility · fee schedule · outpatient | 2 | $466.17 | $466.17 – $466.17 |
| 24 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
| 25 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $466.17 | $466.17 – $466.17 |
← Payers reporting CPT 0169U · Snapshot 20261108T203506Z-bb90dbab