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HCPCS 99155

Use of a drug to induce depression of consciousness by physician not performing a procedure (younger than 5 years), initial 15 minutes

Reported by 5 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$142

Average

$538

Median

$323

High

$1.6k

Hospitals reporting this code

#HospitalLocation
1Ukiah Adventist HospitalUkiah, CA$80$333$322$710$16
2Simi Valley Hospital And Health Care ServicesValley, CA$82$350$338$656$16
3San Joaquin Community HospitalBakersfield, CA$81$147$142$285$7
4St Helena HospitalHelena, CA$85$314$323$594$93
5Tri-City Medical CenterOceanside, CA$127$1.6k$1.6k$3.0k$1.4k

Look up this code directly

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