Moderate sedation by physician, initial 15 minutes, age 5 and older at Avera St. Luke's

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

Med Sedation Oth MD > 5 yrs

Aberdeen, SD

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How this price compares nationally

Avera St. Luke's’s median price of $114 is 37% below the median hospital's median price ($180), higher than 31% 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 Avera St. Luke's

Negotiated rates from the hospital’s own file: 4 payers, 12 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	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$83	$83	—	—	—	$83 – $83
2	Medica ind percent of total billed charges · inpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
3	Medica ind percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
4	Medica com percent of total billed charges · inpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
5	Medica com percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
6	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
7	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
8	Wellmark ppo fee schedule · both	$135	$135	—	—	—	$135 – $135
9	Healthpartners com fee schedule · both	$147	$147	—	—	—	$147 – $147
10	Medica com fee schedule · both	$153	$153	—	—	—	$153 – $153
11	Medica ind fee schedule · both	$153	$153	—	—	—	$153 – $153
12	UnitedHealthcare com fee schedule · both	$161	$161	—	—	—	$161 – $161

Last updated: Apr 1, 2026

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