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 <5 YRS
Maple Grove, MN
See all hospitals reporting CPT 99151 →Price type
Fairview Maple Grove Surgery Center’s median price of $26 is 82% below the median hospital's median price ($145), higher than 8% of the 1,793 hospitals reporting CPT 99151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 24 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 | Medicaid medicaid fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Ucare mhcp fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Medica accessability fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Medica medicaid fee schedule · both | $17 | $17 | — | — | — | $17 – $17 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 8 | Medica ma non-snp fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Medica ma snp fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Medica prime solution fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Medica vantage fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Ucare ifp with fairview fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 13 | Ucare ifp fee schedule · both | $61 | $61 | — | — | — | $61 – $61 |
| 14 | UnitedHealthcare commercial fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 15 | Medica bold fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 16 | Medica choice without / elect fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 17 | Medica city of st paul / essential uplan fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 18 | Blue Cross Blue Shield federal fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 19 | Medica choice with fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 20 | Blue Cross Blue Shield commercial fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 21 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 22 | Cigna commercial fee schedule · both | $105 | $105 | $9 | 9% | — | $96 – $114 |
| 23 | Blue Cross Blue Shield federal fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 24 | Blue Cross Blue Shield commercial fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
Last updated: May 18, 2026
See Moderate sedation for child under 5, first 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.