Moderate sedation for child under 5, first 15 minutes at Avera Gregory Hospital

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

Mod Sedation Same MD <5 YRS

Gregory, SD

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How this price compares nationally

Avera Gregory Hospital’s median price of $115 is 22% below the median hospital's median price ($148), higher than 43% of the 1,765 hospitals reporting CPT 99151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99151 at Avera Gregory Hospital

Negotiated rates from the hospital’s own file: 4 payers, 15 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	Wellmark ppo fee schedule · both	$44	$44	—	—	—	$44 – $44
2	Healthpartners com fee schedule · both	$48	$48	—	—	—	$48 – $48
3	UnitedHealthcare com fee schedule · both	$48	$48	—	—	—	$48 – $48
4	Medica com fee schedule · both	$51	$51	—	—	—	$51 – $51
5	Medica ind fee schedule · both	$51	$51	—	—	—	$51 – $51
6	Medica ind percent of total billed charges · inpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
7	Medica ind percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
8	Medica com percent of total billed charges · inpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
9	Medica com percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
10	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
11	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
12	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
13	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
14	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
15	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140

Last updated: Apr 1, 2026

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