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
Southfield, MI
See all hospitals reporting CPT 0169U →Price type
Henry Ford Health’s median price of $466 is 3% below the median hospital's median price ($482), higher than 9% 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: 7 payers, 15 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 | Medicaid 1263_sjpk,sjpr mi medicaid outpatient 20250101 other · outpatient | $270.38 | $270.38 | $270.38 – $270.38 |
| 2 | Molina 1264_sjpk,sjpr medicaid replacement molina health outpatient 20250101 other · outpatient | $270.38 | $270.38 | $270.38 – $270.38 |
| 3 | UnitedHealthcare 1247_sjpk,sjpr medicaid replacement great lakes health plan outpatient 20250101 other · outpatient | $270.38 | $270.38 | $270.38 – $270.38 |
| 4 | Aetna 1171_sjpk,sjpr medicare advantage aetna inpatient 20241001 other · inpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 5 | Aetna 1255_sjpk,sjpr medicare advantage aetna outpatient 20250101 other · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 6 | Humana 1177_sjpk,sjpr medicare advantage humana inpatient 20241001 other · inpatient | $470.83 | $470.83 | $470.83 – $470.83 |
| 7 | Humana 1252_sjpk,sjpr medicare advantage humana outpatient 20250101 other · outpatient | $470.83 | $470.83 | $470.83 – $470.83 |
| 8 | Molina 1192_sjpk,sjpr medicare advantage molina inpatient 20241001 other · inpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 9 | Molina 1249_sjpk,sjpr medicare advantage molina outpatient 20250101 other · outpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 10 | WellCare 1189_sjpk,sjpr medicare advantage meridian wellcare inpatient 20241001 other · inpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 11 | WellCare 1250_sjpk,sjpr medicare advantage meridian wellcare outpatient 20250101 other · outpatient | $489.48 | $489.48 | $489.48 – $489.48 |
| 12 | Ambetter 1221_sjpk,sjpr meridian ambetter inpatient 20241001 other · inpatient | $582.71 | $582.71 | $582.71 – $582.71 |
| 13 | Ambetter 1258_sjpk,sjpr meridian ambetter outpatient 20250101 other · outpatient | $582.71 | $582.71 | $582.71 – $582.71 |
| 14 | Molina 1223_sjpk,sjpr molina marketplace inpatient 20241001 other · inpatient | $582.71 | $582.71 | $582.71 – $582.71 |
| 15 | Molina 1259_sjpk,sjpr molina marketplace outpatient 20250101 other · outpatient | $582.71 | $582.71 | $582.71 – $582.71 |
Last updated: Jan 1, 2026
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