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
San Angelo, TX
See all hospitals reporting CPT 0164U →Price type
Shannon River Crest Hospital’s median price of $176 is 54% above the median hospital's median price ($114), higher than 88% 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: 4 payers, 6 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 | Bcbs Tx hmo facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 2 | Bcbs Tx bav facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 3 | Bcbs Tx ppo facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 4 | Humana medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 5 | Cigna ppo facility · case rate · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 6 | Ambetter ppo facility · case rate · outpatient | $241 | $241 | — | — | — | $241 – $241 |
Last updated: Dec 8, 2025
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