Moderate sedation for patients over 5 years, first 15 minutes at Hsa Pgh Llc

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 SAME PHYS/QHP 5/>YRS

Hialeah, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Hsa Pgh Llc’s median price of $252 is 73% above the median hospital's median price ($146), higher than 69% of the 2,074 hospitals reporting CPT 99152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99152 at Hsa Pgh Llc

Negotiated rates from the hospital’s own file: 11 payers, 21 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	Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
2	Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
3	Humana humana medical plan / fl medicaid facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
4	UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
5	Molina molina managed medicaid facility · other · outpatient	$17	$17	—	—	1–10	$17 – $17
6	Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges	$56	$56	$8	14%	—	$48 – $64
7	UnitedHealthcare united healthcare of florida exchange facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	$25	14%	—	$147 – $197
8	Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges	$256	$256	$37	14%	—	$219 – $292
9	UnitedHealthcare united healthcare of florida all payer facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	$38	14%	—	$223 – $298
10	UnitedHealthcare united healthcare of florida hmo facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	$38	14%	—	$223 – $298
11	UnitedHealthcare united healthcare of florida ppo facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	$38	14%	—	$223 – $298
12	Humana humana commercial hmo facility · other · outpatient	$282	$282	$41	14%	—	$241 – $322
13	Humana humana commercial ppo facility · other · outpatient	$295	$295	$42	14%	—	$252 – $337
14	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$363	$363	$52	14%	—	$311 – $415
15	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$363	$363	$52	14%	—	$311 – $415
16	Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges	$414	$414	$60	14%	—	$354 – $473
17	Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges	$414	$414	$60	14%	—	$354 – $473
18	Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$436	$436	$63	14%	—	$373 – $498
19	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$486	$486	$70	14%	—	$416 – $556
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$486	$486	$70	14%	—	$416 – $556
21	Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges	$508	$508	$73	14%	—	$435 – $581

Last updated: Sep 1, 2026

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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.