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
Kettering, OH
See all hospitals reporting CPT 0164U →Price type
Kettering Medical Center ’s median price of $131 is 14% above the median hospital's median price ($114), higher than 76% 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: 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 | Blue Cross Blue Shield anthem traditional fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 2 | Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient | $87 | $87 | $81 | 92% | — | $7 – $168 |
| 3 | Molina medicare managed care plan fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 4 | UnitedHealthcare all commercial plans fee schedule · outpatient | $123 | $123 | $11 | 9% | — | $112 – $134 |
| 5 | UnitedHealthcare employee fee schedule · outpatient | $123 | $123 | $11 | 9% | — | $112 – $134 |
| 6 | Aetna all commercial plans fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 7 | Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 8 | Cigna all commercial plans fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 9 | Caresource marketplace exchange fee schedule · outpatient | $144 | $144 | $29 | 20% | — | $115 – $173 |
| 10 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient | $163 | $163 | $156 | 96% | — | $7 – $319 |
| 11 | UnitedHealthcare exchange fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 12 | Medical Mutual new buisness other commercial plan fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 13 | Molina exchange fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 14 | Medical Mutual supermed ppo fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
Last updated: Apr 1, 2026
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