Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at Essentia Health Duluth

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

MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS

Duluth, MN

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Pricing by billing methodology

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How this price compares nationally

Essentia Health Duluth’s median price of $359 is 77% above the median hospital's median price ($202), higher than 80% 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 Essentia Health Duluth

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	$178	$178	—	—	—	$178 – $178
3	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	—	—	—	$214 – $214
4	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
5	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$223	$223	—	—	—	$223 – $223
6	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$223	$223	—	—	—	$223 – $223
7	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$231	$231	—	—	—	$231 – $231
8	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$231	$231	—	—	—	$231 – $231
9	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
10	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$243	$243	—	—	—	$243 – $243
11	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$243	$243	—	—	—	$243 – $243
12	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$298	$298	—	—	—	$298 – $298
13	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$306	$306	—	—	—	$306 – $306
14	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$313	$313	$16	5%	—	$298 – $329
15	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
16	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
17	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
18	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$385	$385	—	—	—	$385 – $385
20	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$385	$385	—	—	—	$385 – $385
21	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$385	$385	—	—	—	$385 – $385
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$394	$394	—	—	—	$394 – $394
23	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$409	$409	—	—	—	$409 – $409
24	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$409	$409	—	—	—	$409 – $409
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$457	$457	—	—	—	$457 – $457

Page 1 of 2 · 26 rates

Last updated: Jan 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.