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 99152 →Price type
Boulder Community Health’s median price of $54 is 63% below the median hospital's median price ($144), higher than 27% of the 2,114 hospitals reporting CPT 99152. 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, 41 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 | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Humana medicare advantage professional · fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Anthem managed care facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Anthem commercial facility · fee schedule · outpatient | $12 | $15 | $7 | 49% | — | $11 – $32 |
| 8 | Anthem commercial professional · fee schedule · both | $15 | $17 | $2 | 14% | — | $15 – $21 |
| 9 | Kaiser commercial professional · fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 10 | MultiPlan commercial professional · fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 11 | Phcs commercial professional · fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 12 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 13 | Cigna commercial facility · fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 14 | Cigna commercial professional · fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Anthem managed care professional · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Aetna commercial professional · fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 18 | Aetna ppo professional · fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 19 | UnitedHealthcare medicare advantage professional · fee schedule · both | $33 | $33 | $22 | 66% | — | $11 – $54 |
| 20 | Healthpartners managed medicaid professional · fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 21 | Aetna medicare advantage facility · case rate · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 22 | Anthem medicare advantage facility · case rate · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 23 | Humana medicare advantage facility · case rate · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 24 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 25 | Kaiser medicare advantage facility · case rate · outpatient | $55 | $55 | $0 | 0% | — | $55 – $56 |
Last updated: Sep 16, 2026
See Moderate sedation for patients over 5 years, first 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.