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
Mission Viejo, CA
See all hospitals reporting CPT 0169U →Price type
Mission Hospital Regional Med Center’s median price of $897 is 86% above the median hospital's median price ($482), higher than 90% 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: 3 payers, 8 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 | Aetna medicare managed care plan fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 2 | Blue Cross Blue Shield anthem vivity city of la other commercial plan fee schedule · outpatient | $693.23 | $693.23 | $693.23 – $693.23 |
| 3 | Blue Cross Blue Shield anthem vivity non city of la other commercial plan fee schedule · outpatient | $744.61 | $744.61 | $744.61 – $744.61 |
| 4 | UnitedHealthcare all commercial plans fee schedule · outpatient | $932.34 | $932.34 | $932.34 – $932.34 |
| 5 | UnitedHealthcare select/navigate hmo fee schedule · outpatient | $932.34 | $932.34 | $932.34 – $932.34 |
| 6 | Blue Cross Blue Shield anthem non-mcs (ind1, ncx1, ncx3) all commercial plans fee schedule · outpatient | $2,072 | $2,072 | $2,072 – $2,072 |
| 7 | Blue Cross Blue Shield anthem mcs (indx) all commercial plans fee schedule · outpatient | $2,486 | $2,486 | $2,486 – $2,486 |
| 8 | Aetna gatekeeper hmo fee schedule · outpatient | $2,716 | $2,716 | $2,716 – $2,716 |
Last updated: Apr 1, 2026
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