Moderate sedation by physician, initial 15 minutes, age 5 and older at AMH Cath Labs LLC

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

99156 MOD SED DIFFMD>5YR 1ST15

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $201 is 11% above the median hospital's median price ($180), higher than 56% of the 1,689 hospitals reporting CPT 99156. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99156 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 35 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$70	$70	—	—	—	$70 – $70
7	Humana medicare advantage case rate · outpatient	$73	$73	—	—	—	$73 – $73
8	Humana medicare advantage ppo case rate · outpatient	$73	$73	—	—	—	$73 – $73
9	Molina medicare advantage case rate · outpatient	$74	$74	—	—	—	$74 – $74
10	WellCare medicare advantage hmo case rate · outpatient	$74	$74	—	—	—	$74 – $74
11	WellCare medicare advantage mmp case rate · outpatient	$77	$77	—	—	—	$77 – $77
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$78	$78	—	—	—	$78 – $78
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$79	$79	—	—	—	$79 – $79
14	Blue Cross Blue Shield exchange fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
15	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$159	$159	$3	2%	—	$156 – $161
17	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
18	Blue Cross Blue Shield hmo fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
19	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$209	$209	—	—	—	$209 – $209
20	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$212	$212	$3	2%	—	$208 – $215
22	Blue Cross Blue Shield ppo fee schedule · outpatient	$225	$225	—	—	—	$225 – $225
23	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
24	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$265	$265	—	—	—	$265 – $265

Page 1 of 2 · 35 rates

Last updated: Apr 21, 2026

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