Moderate sedation for patients over 5 years, first 15 minutes

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC MOD SEDATION 1ST 15MIN>5YRS

Payers reporting CPT 99152

Payer pricing summary

Low

Average

$407

Median

$256

High

$2.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +35 other terms	286	$51	$238	$559	235%	367–403	$1 – $10.1k
2	Bcbs Al facility · other · outpatient · +4 other terms	5	$35	$42	$11	26%	275–329	$32 – $60
3	Humana fee schedule · outpatient · +29 other terms	176	$51	$238	$776	326%	162–189	$1 – $8.3k
4	Kaiser fee schedule · outpatient · +25 other terms	64	$51	$144	$228	159%	153–162	$11 – $2.1k
5	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	250	$47	$78	$122	156%	116–188	$0 – $1.4k
6	Cigna fee schedule · outpatient · +28 other terms	139	$81	$498	$1.2k	249%	112–166	$9 – $11.0k
7	Anthem fee schedule · outpatient · +25 other terms	112	$47	$48	$82	170%	72–162	$5 – $1.0k
8	Molina fee schedule · outpatient · +33 other terms	89	$46	$57	$80	139%	48–111	$1 – $541
9	Bcbs Fl facility · other · outpatient · +3 other terms	2	$1.2k	$1.3k	$195	15%	18–81	$970 – $1.5k
10	Aetna fee schedule · outpatient · +33 other terms	183	$47	$256	$705	276%	3–30	$1 – $8.4k
11	Medicare professional · fee schedule · outpatient · +17 other terms	36	$11	$27	$19	70%	3–30	$10 – $53
12	First Health fee schedule · outpatient · +18 other terms	35	$596	$586	$436	74%	2–20	$13 – $1.8k
13	Ambetter other · outpatient · +20 other terms	21	$1.4k	$1.7k	$1.5k	90%	2–20	$9 – $6.6k
14	Oscar professional · fee schedule · outpatient · +18 other terms	28	$14	$22	$16	74%	1–10	$10 – $69
15	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$131	$131	—	—	1–10	$131 – $131
16	MultiPlan fee schedule · outpatient · +20 other terms	109	$373	$502	$548	109%	—	$8 – $2.7k
17	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	58	$174	$564	$603	107%	—	$32 – $1.9k
18	WellCare professional · fee schedule · outpatient · +22 other terms	53	$28	$24	$17	73%	—	$7 – $54
19	Regence professional · fee schedule · outpatient · +18 other terms	52	$30	$35	$33	96%	—	$10 – $157
20	Optum professional · fee schedule · outpatient · +17 other terms	51	$12	$35	$24	68%	—	$5 – $71
21	Highmark facility · fee schedule · outpatient · +18 other terms	50	$12	$49	$182	373%	—	$2 – $927
22	Tricare professional · fee schedule · outpatient · +20 other terms	47	$12	$24	$17	70%	—	$10 – $54
23	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	46	$13	$25	$38	149%	—	$10 – $195
24	Medica professional · fee schedule · outpatient · +21 other terms	43	$35	$43	$25	57%	—	$5 – $95
25	Caresource fee schedule · outpatient · +18 other terms	42	$132	$233	$65	28%	—	$1 – $409

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