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
Boulder, CO
See all hospitals reporting CPT 0164U →Price type
Boulder Community Health’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.
Negotiated rates from the hospital’s own file: 8 payers, 20 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 commercial professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Anthem managed care professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 3 | UnitedHealthcare commercial professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $80 | $80 | $32 | 41% | — | $47 – $112 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $85 | $85 | — | — | — | $85 – $85 |
| 6 | UnitedHealthcare commercial facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 9 | Humana medicare advantage professional · fee schedule · both | $112 | $112 | — | — | — | $112 – $112 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $115 | $115 | $1 | 0% | — | $114 – $115 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 14 | Aetna commercial professional · fee schedule · both | $123 | $123 | $37 | 31% | — | $85 – $160 |
| 15 | Anthem managed care facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 16 | Anthem commercial facility · fee schedule · outpatient | $122 | $155 | $75 | 49% | — | $108 – $322 |
| 17 | MultiPlan commercial professional · fee schedule · both | $176 | $176 | — | — | — | $176 – $176 |
| 18 | Phcs commercial professional · fee schedule · both | $176 | $176 | — | — | — | $176 – $176 |
| 19 | Kaiser commercial facility · case rate · outpatient | $244 | $244 | $30 | 12% | — | $215 – $274 |
| 20 | Kaiser managed care facility · case rate · outpatient | $271 | $271 | — | — | — | $271 – $271 |
Last updated: Sep 16, 2026
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