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
99155T MOD SED < 5YR--1ST 30 MIN-OTH
Schenectady, NY
See all hospitals reporting CPT 99155 →Price type
Ellis Hospital’s median price of $146 is 28% below the median hospital's median price ($204), higher than 35% 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: 3 payers, 5 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 united healthcare facility · percent of total billed charges · inpatientfrom % of charges | $164 | $170 | $64 | 38% | — | $106 – $245 |
| 2 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $164 | $170 | $64 | 38% | — | $106 – $245 |
| 3 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $170 | $176 | $66 | 38% | — | $110 – $254 |
| 4 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $174 | $180 | $68 | 38% | — | $113 – $260 |
| 5 | Tricare tricare facility · fee schedule · outpatient | $205 | $212 | $80 | 38% | — | $133 – $306 |
Last updated: Jun 25, 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.