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
Mod Sed Other Phys/Qhp, Ea Add 15 Min
Eureka, IL
See all hospitals reporting CPT 99157 →Price type
Carle Eureka Hospital’s median price of $89 is 23% below the median hospital's median price ($116), higher than 38% of the 1,636 hospitals reporting CPT 99157. 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 4 | WellCare medicare advantage hmo case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 5 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $63 | $63 | — | — | — | $63 – $63 |
| 8 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 14 | Aetna commercial fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 16 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 18 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 19 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 20 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 22 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
Last updated: Apr 15, 2026
See Additional time of moderate sedation by physician pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.