Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at Astera Health

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

Moderate Sedation Other Phy/Qhcp, Initial 15 Min, Less Than 5 Yrs

Wadena, MN

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How this price compares nationally

Astera Health’s median price of $115 is 43% below the median hospital's median price ($202), higher than 26% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99155 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 51 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	Sanford Health Plan sanford health plan [100578] fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
2	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
3	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
4	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
5	Ucare ucare pmap [300063] fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
6	Medica medica mncare [100751] fee schedule · inpatient	$58	$58	—	—	—	$58 – $58
7	Medica medica mncare [100751] fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
8	Medica medica pmap [100345] fee schedule · inpatient	$58	$58	—	—	—	$58 – $58
9	Medica medica pmap [100345] fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
10	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
11	Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
12	Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
13	Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
14	Ucare ucare pmap [300063] fee schedule · inpatient	$64	$64	—	—	—	$64 – $64
15	Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
16	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
17	Medica mr-medica advantage solutions [100895] fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
18	Medica mr-medica dual solutions msho [100344] fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
19	Ucare mr-ucare [300064] fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
20	Ucare mr-ucare msho [300061] fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
21	Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges	$102	$102	$15	15%	—	$87 – $118
22	UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
23	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
24	Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
25	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115

Page 1 of 3 · 51 rates

Last updated: Feb 20, 2026

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See Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.