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
Chilton, WI
See all hospitals reporting CPT 0169U →Price type
Ascension Calumet Hospital, Inc.’s median price of $489 is 1% above the median hospital's median price ($482), higher than 53% of the 1,292 hospitals reporting CPT 0169U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 5 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 | Anthem 1000_anthem hmo pos mewi sewi 20230401 fee schedule · outpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 2 | Anthem 1001_anthem ppo mewi sewi 20230401 fee schedule · outpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 3 | Anthem 946_anthem pathways mewi sewi 20230101 fee schedule · outpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 4 | Anthem 999_anthem blue connection mewi sewi 20230401 fee schedule · outpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 5 | Cigna 1004_cigna 20230701 other · outpatient | $1,799 | $1,799 | $1,799 – $1,799 |
Last updated: Jan 1, 2026
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