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
HC MOD SED SAME PHYS/QHP <5 YRS
Boulder, CO
See all hospitals reporting CPT 99151 →Price type
Boulder Community Health’s median price of $67 is 54% below the median hospital's median price ($146), higher than 24% of the 1,782 hospitals reporting CPT 99151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 39 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 | Aetna medicare advantage professional · case rate · both | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Humana medicare advantage professional · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Anthem managed care facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Anthem commercial facility · fee schedule · outpatient | $23 | $29 | $14 | 49% | — | $20 – $61 |
| 8 | Anthem commercial professional · fee schedule · both | $30 | $33 | $5 | 14% | — | $30 – $40 |
| 9 | Kaiser commercial professional · fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 10 | MultiPlan commercial professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Phcs commercial professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Cigna commercial facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 13 | UnitedHealthcare commercial professional · fee schedule · both | $38 | $38 | — | — | — | $38 – $38 |
| 14 | Cigna commercial professional · fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Anthem managed care professional · fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $43 | $43 | $22 | 51% | — | $21 – $65 |
| 17 | Aetna commercial professional · fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 18 | Aetna ppo professional · fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 19 | Healthpartners managed medicaid professional · fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Aetna medicare advantage facility · case rate · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 21 | Anthem medicare advantage facility · case rate · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 22 | Humana medicare advantage facility · case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 23 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 24 | Kaiser medicare advantage facility · case rate · outpatient | $67 | $67 | $0 | 0% | — | $66 – $67 |
| 25 | Devoted medicare advantage facility · case rate · outpatient | $67 | $67 | — | — | — | $67 – $67 |
Last updated: Sep 16, 2026
See Moderate sedation for child under 5, first 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.