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 <5 Yrs Same Phy Initial 10-22 Min
Ozark, MO
See all hospitals reporting CPT 99151 →Price type
Mercy Hospital Springfield’s median price of $52 is 64% below the median hospital's median price ($146), higher than 17% 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: 12 payers, 24 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 | Medicaid hb sprg/jopl ark medicaid facility · case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $31 | $55 | $37 | 67% | — | $27 – $107 |
| 7 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $32 | $57 | $38 | 67% | — | $28 – $110 |
| 8 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $40 | $70 | $46 | 67% | — | $34 – $135 |
| 9 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $40 | $70 | $46 | 67% | — | $34 – $135 |
| 10 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $40 | $70 | $46 | 67% | — | $34 – $135 |
| 11 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $40 | $70 | $46 | 67% | — | $34 – $135 |
| 12 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $40 | $70 | $46 | 67% | — | $34 – $135 |
| 13 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $40 | $70 | $46 | 67% | — | $34 – $135 |
| 14 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $44 | $78 | $52 | 67% | — | $38 – $151 |
| 15 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $54 | $95 | $63 | 67% | — | $46 – $184 |
| 16 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $55 | $96 | $64 | 67% | — | $47 – $186 |
| 17 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $58 | $101 | $68 | 67% | — | $50 – $197 |
| 18 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $60 | $106 | $71 | 67% | — | $52 – $206 |
| 19 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $61 | $107 | $71 | 67% | — | $52 – $208 |
| 20 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $61 | $107 | $71 | 67% | — | $52 – $208 |
| 21 | Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 22 | UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 23 | UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 24 | UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
Last updated: Jun 4, 2026
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.