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

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

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $335 is 86% 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.

Payers reporting CPT 99156 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 26 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 wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$161	$161	—	—	—	$161 – $161
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$161	$161	—	—	—	$161 – $161
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$185	$185	—	—	—	$185 – $185
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	—	—	—	$214 – $214
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
14	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
15	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$291	$291	—	—	—	$291 – $291
16	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
17	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
18	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
19	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
20	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
21	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$357	$357	—	—	—	$357 – $357
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$357	$357	—	—	—	$357 – $357
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$380	$380	—	—	—	$380 – $380
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$393	$393	—	—	—	$393 – $393

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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