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 OTH PHYS/QHP <5 YRS
Clovis, CA
See all hospitals reporting CPT 99155 →Price type
Clovis Community Medical Center’s median price of $80 is 61% below the median hospital's median price ($204), higher than 13% of the 1,438 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: 8 payers, 14 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 | Blue Cross Blue Shield managed medi-cal facility · fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 2 | Molina managed medi-cal facility · fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Aetna medicare advantage facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 4 | Aetna medicare hmo for chp facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Aetna ppo facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Cigna access (pffs) facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 8 | Cigna healthspring facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Kaiser commercial facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 11 | Kaiser senior advantage medicare facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 14 | Aetna medicare hmo for non-chp facility · case rate · outpatient | $84 | $84 | — | — | — | $84 – $84 |
Last updated: Sep 11, 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.