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 SAME PHYS/QHP INITIAL 15 MINS 5/> YRS
Duluth, MN
See all hospitals reporting CPT 99152 →Price type
Essentia Health Duluth’s median price of $330 is 128% above the median hospital's median price ($144), higher than 78% of the 2,114 hospitals reporting CPT 99152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 3 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 5 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 6 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $204 | $204 | — | — | — | $204 – $204 |
| 7 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 8 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 9 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
| 10 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 11 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 12 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 13 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 14 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $288 | $288 | $14 | 5% | — | $273 – $302 |
| 15 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 16 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $325 | $325 | — | — | — | $325 – $325 |
| 17 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $325 | $325 | — | — | — | $325 – $325 |
| 18 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 20 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 21 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $362 | $362 | — | — | — | $362 – $362 |
| 23 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $375 | $375 | — | — | — | $375 – $375 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $420 | $420 | — | — | — | $420 – $420 |
Last updated: Jan 1, 2026
See Moderate sedation for patients over 5 years, first 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.