Additional time of moderate sedation by physician at Lafayette County

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

HC MOD SED OTHER PHYS/QHP EA 15 MIN

Darlington, WI

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Pricing by billing methodology

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How this price compares nationally

Lafayette County’s median price of $292 is 153% above the median hospital's median price ($116), higher than 87% of the 1,636 hospitals reporting CPT 99157. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99157 at Lafayette County

Negotiated rates from the hospital’s own file: 4 payers, 13 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	$45	$45	—	—	—	$45 – $45
2	UnitedHealthcare badgercare professional · fee schedule · both	$45	$45	—	—	—	$45 – $45
3	Aetna commercial professional · percent of total billed charges · bothfrom % of charges	$212	$212	—	—	—	$212 – $212
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$245	$245	—	—	—	$245 – $245
5	Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$245	$245	—	—	—	$245 – $245
6	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$245	$245	—	—	—	$245 – $245
7	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$245	$245	—	—	—	$245 – $245
8	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$339	$339	—	—	—	$339 – $339
9	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$339	$339	—	—	—	$339 – $339
10	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$339	$339	—	—	—	$339 – $339
11	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$423	$423	—	—	—	$423 – $423
12	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$496	$496	—	—	—	$496 – $496
13	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$496	$496	—	—	—	$496 – $496

Last updated: Feb 4, 2026

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See Additional time of moderate sedation by physician pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.