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
Phoenix, AZ
See all hospitals reporting CPT 99155 →Price type
Dignity Health’s median price of $469 is 132% above the median hospital's median price ($202), higher than 89% 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, 12 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 2 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 3 | Optum commercial|optumhealth fee schedule · outpatient | $315 | $315 | — | — | — | $315 – $315 |
| 4 | Cigna commercial|lifesource fee schedule · outpatient | $369 | $369 | — | — | — | $369 – $369 |
| 5 | First Health commercial|all plans fee schedule · inpatient | $469 | $469 | — | — | — | $469 – $469 |
| 6 | First Health commercial|all plans fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 7 | MultiPlan commercial|all plans fee schedule · inpatient | $529 | $529 | — | — | — | $529 – $529 |
| 8 | MultiPlan commercial|all plans fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 9 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 10 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 11 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $670 | $670 | — | — | — | $670 – $670 |
| 12 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $670 | $670 | — | — | — | $670 – $670 |
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.