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
HC MOD SED OTHER PHYS/QHP 5/>YRS 15M
Darlington, WI
See all hospitals reporting CPT 99156 →Price type
Lafayette County’s median price of $332 is 84% above the median hospital's median price ($180), higher than 79% of the 1,689 hospitals reporting CPT 99156. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 15 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 | Anthem badgercare professional · fee schedule · both | $59 | $59 | — | — | — | $59 – $59 |
| 2 | UnitedHealthcare badgercare professional · fee schedule · both | $59 | $59 | — | — | — | $59 – $59 |
| 3 | Anthem badgercare facility · other · inpatient | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 4 | Anthem badgercare facility · other · outpatient | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 5 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $141 | $141 | — | — | — | $141 – $141 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 7 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 8 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 9 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
| 13 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $573 | $573 | — | — | — | $573 – $573 |
| 14 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $672 | $672 | — | — | — | $672 – $672 |
| 15 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $672 | $672 | — | — | — | $672 – $672 |
Last updated: Feb 4, 2026
See Moderate sedation by physician, initial 15 minutes, age 5 and older pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.