Irritable bowel syndrome antibody blood test at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GI IBS IA ANTI-CDTB&VINCULIN

Austin, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $112 is 2% below the median hospital's median price ($114), higher than 11% of the 1,266 hospitals reporting CPT 0164U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0164U at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 17 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	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
2	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
3	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
4	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
5	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$81	$81	—	—	—	$81 – $81
6	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$112	$112	—	—	—	$112 – $112
7	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$112	$112	—	—	—	$112 – $112
8	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$112	$112	—	—	—	$112 – $112
9	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$112	$112	—	—	—	$112 – $112
10	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$112	$112	—	—	—	$112 – $112
11	Tricare 4696_tricare inpatient 20251001 other · inpatient	$112	$112	—	—	—	$112 – $112
12	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$112	$112	—	—	—	$112 – $112
13	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$112	$112	—	—	—	$112 – $112
14	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$114	$114	—	—	—	$114 – $114
15	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$114	$114	—	—	—	$114 – $114
16	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$202	$202	—	—	—	$202 – $202
17	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$202	$202	—	—	—	$202 – $202

Last updated: Jan 1, 2026

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