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
Hackensack, NJ
See all hospitals reporting CPT 99151 →Price type
Hmh Hospitals Corporation’s median price of $140 is 4% below the median hospital's median price ($146), higher than 49% of the 1,782 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, 12 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 5 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 6 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 7 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $140 | $140 | — | — | — | $140 – $140 |
| 8 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 9 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 10 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 11 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
| 12 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $160 | $160 | — | — | — | $160 – $160 |
Last updated: Dec 31, 2025
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.