Additional time of moderate sedation by physician 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS

Duluth, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Essentia Health Duluth’s median price of $278 is 140% above the median hospital's median price ($116), higher than 86% of the 1,636 hospitals reporting CPT 99157. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99157 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	$138	$138	—	—	—	$138 – $138
3	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$166	$166	—	—	—	$166 – $166
4	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
5	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
6	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
7	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
8	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
9	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$187	$187	—	—	—	$187 – $187
10	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
11	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
12	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
13	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
14	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	$12	5%	—	$230 – $254
15	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
16	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
17	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
18	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
20	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
21	Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$305	$305	—	—	—	$305 – $305
23	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
24	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$354	$354	—	—	—	$354 – $354

Page 1 of 2 · 26 rates

Last updated: Jan 1, 2026

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See Additional time of moderate sedation by physician pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.