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
PR MOD SED OTHER PHYS/QHP <5 YRS 15M
Darlington, WI
See all hospitals reporting CPT 99155 →Price type
Lafayette County’s median price of $72 is 64% below the median hospital's median price ($202), higher than 8% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 3 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 commercial professional · percent of total billed charges · bothfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Anthem badgercare professional · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 3 | UnitedHealthcare badgercare professional · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
Last updated: Feb 4, 2026
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.