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 OTHER PHYS/QHP INITIAL 15 MINS <5 YRS
Boulder, CO
See all hospitals reporting CPT 99155 →Price type
Boulder Community Health’s median price of $164 is 19% below the median hospital's median price ($202), higher than 41% 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: 9 payers, 38 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 facility · case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 2 | Aetna medicare advantage professional · case rate · both | $81 | $81 | — | — | — | $81 – $81 |
| 3 | Anthem medicare advantage facility · case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 4 | Anthem medicare advantage professional · fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Devoted medicare advantage professional · fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Humana medicare advantage professional · fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Humana medicare advantage facility · case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 9 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Kaiser medicare advantage facility · case rate · outpatient | $83 | $83 | $0 | 0% | — | $83 – $84 |
| 11 | Devoted medicare advantage facility · case rate · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 12 | Anthem managed care facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 13 | Kaiser medicare advantage professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 14 | Anthem commercial professional · fee schedule · both | $100 | $110 | $16 | 14% | — | $100 – $135 |
| 15 | Anthem commercial facility · fee schedule · outpatient | $88 | $112 | $55 | 49% | — | $78 – $233 |
| 16 | MultiPlan commercial professional · fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 17 | Phcs commercial professional · fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Kaiser commercial professional · fee schedule · both | $128 | $128 | — | — | — | $128 – $128 |
| 19 | Cigna commercial facility · fee schedule · outpatient | $130 | $130 | — | — | — | $130 – $130 |
| 20 | Anthem managed care professional · fee schedule · both | $135 | $135 | — | — | — | $135 – $135 |
| 21 | Cigna commercial professional · fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 22 | UnitedHealthcare commercial professional · fee schedule · both | $139 | $139 | — | — | — | $139 – $139 |
| 23 | Aetna commercial professional · fee schedule · both | $164 | $164 | — | — | — | $164 – $164 |
| 24 | Aetna ppo professional · fee schedule · both | $164 | $164 | — | — | — | $164 – $164 |
| 25 | Kaiser commercial facility · case rate · outpatient | $177 | $177 | $21 | 12% | — | $156 – $198 |
Last updated: Sep 16, 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.