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
LW GNOTYP ICAM4 EXON 1
Orange, TX
See all hospitals reporting CPT 0197U →Price type
CHRISTUS Hospital - Orange’s median price of $185 is 3% below the median hospital's median price ($191), higher than 9% of the 1,267 hospitals reporting CPT 0197U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 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 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 7 | UnitedHealthcare hix fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 8 | Aetna mm fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 9 | Bcbs Tx mm fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 10 | Humana gold choice mm fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 11 | Molina medicare adv mm fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 12 | UnitedHealthcare mm fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 13 | WellCare mm fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 14 | Devoted mm fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
Last updated: Jan 13, 2026
See Genetic test for Landsteiner-Wiener blood group pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.