Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at Dukes Health System LLC

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

Moderate Sedation Child - MODSED OTH U5 1ST15- CPT

Peru, IN

See all hospitals reporting CPT 99155 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Dukes Health System LLC’s median price of $136 is 33% below the median hospital's median price ($202), higher than 33% 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 Dukes Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 26 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	Tricare node tricare facility · fee schedule · outpatient	$63	$58	$7	12%	—	$48 – $63
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$67	$61	$8	12%	—	$51 – $67
3	Humana node humana mcr adv facility · fee schedule · outpatient	$67	$61	$8	12%	—	$51 – $67
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$67	$61	$8	12%	—	$51 – $67
5	Anthem anthem in hip facility · fee schedule · outpatient	$68	$62	$8	12%	—	$51 – $68
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$68	$62	$8	12%	—	$51 – $68
7	Optum node united optum va ccn facility · per diem · outpatient	$68	$62	$8	12%	—	$51 – $68
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$68	$63	$8	12%	—	$52 – $68
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$68	$63	$8	12%	—	$52 – $68
10	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$102	$94	$12	12%	—	$77 – $102
11	Anthem anthem in work comp facility · other · outpatient	$108	$100	$12	12%	—	$82 – $108
12	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$122	$112	$14	12%	—	$93 – $122
13	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$122	$112	$14	12%	—	$93 – $122
14	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$122	$112	$14	12%	—	$93 – $122
15	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$122	$112	$14	12%	—	$93 – $122
16	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$144	$132	$16	12%	—	$109 – $144
17	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$161	$148	$18	12%	—	$122 – $161
18	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$167	$153	$19	12%	—	$126 – $167
19	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
20	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$271	$249	$31	12%	—	$206 – $271
21	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$271	$249	$31	12%	—	$206 – $271
22	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$275	$252	$31	12%	—	$208 – $275
23	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$275	$252	$31	12%	—	$208 – $275
24	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$275	$252	$31	12%	—	$208 – $275
25	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$275	$252	$31	12%	—	$208 – $275

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

Compare to other hospitals

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.