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
Maple Grove, MN
See all hospitals reporting CPT 0169U →Price type
Fairview Maple Grove Surgery Center’s median price of $599 is 24% above the median hospital's median price ($482), higher than 77% 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: 5 payers, 18 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 medicaid fee schedule · outpatient | $338.84 | $338.84 | $338.84 – $338.84 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $466.17 | $466.17 | $466.17 – $466.17 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $474.56 | $474.56 | $474.56 – $474.56 |
| 4 | Medica ma non-snp fee schedule · both | $494.14 | $498.24 | $494.14 – $506.44 |
| 5 | Medica ma snp fee schedule · both | $494.14 | $498.24 | $494.14 – $506.44 |
| 6 | Medica prime solution fee schedule · both | $494.14 | $498.24 | $494.14 – $506.44 |
| 7 | Medica vantage fee schedule · both | $494.14 | $498.24 | $494.14 – $506.44 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $559.22 | $559.22 | $559.22 – $559.22 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $569.29 | $569.29 | $569.29 – $569.29 |
| 10 | Cigna commercial fee schedule · both | $688.51 | $688.51 | $628.64 – $748.38 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $803.68 | $803.68 | $803.68 – $803.68 |
| 12 | Medica bold fee schedule · both | $878.97 | $886.36 | $878.97 – $901.13 |
| 13 | Medica choice without / elect fee schedule · both | $976.63 | $984.84 | $976.63 – $1,001 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $976.63 | $984.84 | $976.63 – $1,001 |
| 15 | Medica choice with fee schedule · both | $1,011 | $1,019 | $1,011 – $1,036 |
| 16 | Ucare ifp fee schedule · outpatient | $1,071 | $1,071 | $1,071 – $1,071 |
| 17 | UnitedHealthcare commercial fee schedule · both | $1,229 | $1,229 | $1,229 – $1,229 |
| 18 | Cigna commercial fee schedule · outpatient | $1,313 | $1,313 | $1,199 – $1,427 |
Last updated: May 18, 2026
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