Moderate sedation by physician, initial 15 minutes, age 5 and older 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

See all hospitals reporting CPT 99156 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Springfield’s median price of $140 is 23% below the median hospital's median price ($180), higher than 39% of the 1,689 hospitals reporting CPT 99156. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99156 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 23 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.

Filter by billing methodology

Filter by billing class

#
1	Aetna hb sprg ok medicaid facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
2	Humana hb sprg ok medicaid facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
3	Medicaid hb sprg ok medicaid facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
4	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
5	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97
6	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
7	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
8	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
9	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
10	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
11	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	1–10	$123 – $123
12	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
13	Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
14	UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	1–10	$130 – $130
15	UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
16	UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
17	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
18	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
19	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	—	—	—	$169 – $169
20	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$179	$179	—	—	—	$179 – $179
21	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$187	$187	—	—	—	$187 – $187
22	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
23	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189

Last updated: Jun 4, 2026

Compare to other hospitals

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.