Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at Mercy Hospital Springfield

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 <5 Yrs Diff Phys Initial 10-22 Min

Ozark, MO

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How this price compares nationally

Mercy Hospital Springfield’s median price of $129 is 36% below the median hospital's median price ($202), higher than 30% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99155 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 22 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 hb sprg ok medicaid facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
2	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
3	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
4	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
5	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
6	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
7	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
8	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
9	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
10	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
11	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
12	Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
13	UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
14	UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
15	UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
16	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
17	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
18	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
19	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
20	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
21	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
22	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$174	$174	—	—	—	$174 – $174

Last updated: Jun 4, 2026

Compare to other hospitals

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.