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
San Antonio, TX
See all hospitals reporting CPT 0169U →Price type
Santa Rosa Emergency Center - Alon’s median price of $503 is 4% above the median hospital's median price ($482), higher than 66% 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, 19 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 mm fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 3 | Humana gold choice mm fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 4 | Humana gold plus mm fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 5 | Molina medicare adv mm fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 6 | UnitedHealthcare mm fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 7 | WellCare mm fee schedule · outpatient | $466.17 | $466.17 | $466.17 – $466.17 |
| 8 | Devoted mm fee schedule · outpatient | $503.46 | $503.46 | $503.46 – $503.46 |
| 9 | Aetna new business fee schedule · outpatient | $830.71 | $830.71 | $830.71 – $830.71 |
| 10 | UnitedHealthcare all payer fee schedule · outpatient | $871.84 | $871.84 | $871.84 – $871.84 |
| 11 | Aetna epo fee schedule · outpatient | $923.01 | $923.01 | $923.01 – $923.01 |
| 12 | Aetna hmo fee schedule · outpatient | $923.01 | $923.01 | $923.01 – $923.01 |
| 13 | Aetna pos fee schedule · outpatient | $923.01 | $923.01 | $923.01 – $923.01 |
| 14 | Aetna ppo fee schedule · outpatient | $923.01 | $923.01 | $923.01 – $923.01 |
| 15 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $1,198 | $1,198 | $1,198 – $1,198 |
| 16 | Bcbs Tx hmo fee schedule · outpatient | $1,459 | $1,459 | $1,459 – $1,459 |
| 17 | Bcbs Tx heb fee schedule · outpatient | $1,478 | $1,478 | $1,478 – $1,478 |
| 18 | Bcbs Tx ppo fee schedule · outpatient | $1,641 | $1,641 | $1,641 – $1,641 |
| 19 | Bcbs Tx traditional fee schedule · outpatient | $1,729 | $1,729 | $1,729 – $1,729 |
Last updated: Jan 13, 2026
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