Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at Carle Eureka Hospital

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

Mod Sed Other Phys/Qhp, Pt <5yrs, Initl 15 Min

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $120 is 41% below the median hospital's median price ($202), higher than 28% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99155 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 22 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$83	$83	—	—	—	$83 – $83
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$83	$83	—	—	—	$83 – $83
6	WellCare medicare advantage hmo case rate · outpatient	$85	$85	—	—	—	$85 – $85
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$85	$85	—	—	—	$85 – $85
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
9	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
10	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
11	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
12	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
13	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
17	Aetna commercial fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210

Last updated: Apr 15, 2026

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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.