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 <5Y 1ST 15 OTH MD
Los Angeles, CA
See all hospitals reporting CPT 99155 →Price type
Dignity Community Care’s median price of $114 is 44% below the median hospital's median price ($202), higher than 26% 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: 6 payers, 13 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 | Anthem medicaid|all plans fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 2 | Molina medicaid|< 21 fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Molina medicaid|> 21 fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 5 | Kaiser medicaid|> 21 fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 6 | First Health commercial|all plans fee schedule · inpatient | $301 | $301 | — | — | — | $301 – $301 |
| 7 | First Health commercial|all plans fee schedule · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 8 | Kaiser commercial|all plans fee schedule · inpatient | $305 | $305 | — | — | — | $305 – $305 |
| 9 | Kaiser commercial|all plans fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 10 | Blue Cross Blue Shield medicare|promise fee schedule · outpatient | $327 | $327 | — | — | — | $327 – $327 |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $344 | $344 | — | — | — | $344 – $344 |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 13 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
Last updated: Feb 28, 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.