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.
Original text from hospital filings
PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS
Quincy, IL
See all hospitals reporting CPT 99155 →Price type
Blessing Hospital’s median price of $289 is 43% above the median hospital's median price ($202), higher than 67% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 21 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 | UnitedHealthcare commercial professional · fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 2 | Aetna commercial professional · case rate · both | $85 | $85 | — | — | — | $85 – $85 |
| 3 | UnitedHealthcare medicare advantage professional · case rate · both | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Blue Cross Blue Shield commercial professional · fee schedule · both | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Bcbs Il commercial professional · fee schedule · both | $187 | $187 | — | — | — | $187 – $187 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | — | — | — | $243 – $243 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 8 | Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 9 | Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 10 | Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 11 | Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 18 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 19 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 20 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $361 | $361 | — | — | — | $361 – $361 |
| 21 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
Last updated: Jun 8, 2026
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.