Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at Durant HMA 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

CAD Moderate Sedation Child - MODSED OTH U5 1ST15-

Durant, OK

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How this price compares nationally

Durant HMA LLC’s median price of $354 is 74% above the median hospital's median price ($204), higher than 78% of the 1,437 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99155 at Durant HMA LLC

Negotiated rates from the hospital’s own file: 8 payers, 19 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	Aetna aetna betterhealth medicaid ok facility · fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
2	Humana humana healthy horizons medicaid ok facility · fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
3	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	$5	3%	—	$131 – $140
4	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$147	$147	$5	3%	—	$142 – $152
5	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$154	$154	$5	3%	—	$149 – $159
6	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$158	$158	$5	3%	—	$153 – $163
7	Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges	$168	$168	$6	3%	—	$163 – $174
8	Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	$6	3%	—	$163 – $174
9	Phcs phcs savility facility · percent of total billed charges · inpatientfrom % of charges	$354	$354	$12	3%	—	$342 – $366
10	Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	$12	3%	—	$342 – $366
11	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$379	$379	$13	3%	—	$366 – $392
12	First Health coventry facility · percent of total billed charges · outpatientfrom % of charges	$379	$379	$13	3%	—	$366 – $392
13	First Health first health ccn facility · percent of total billed charges · outpatientfrom % of charges	$379	$379	$13	3%	—	$366 – $392
14	First Health first health ccn facility · percent of total billed charges · inpatientfrom % of charges	$404	$404	$14	3%	—	$390 – $418
15	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$404	$404	$14	3%	—	$390 – $418
16	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$404	$404	$14	3%	—	$390 – $418
17	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$404	$404	$14	3%	—	$390 – $418
18	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$404	$404	$14	3%	—	$390 – $418
19	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$429	$429	$15	3%	—	$415 – $444

Last updated: Apr 1, 2026

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