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
Use of a drug to induce depression of consciousness by physician not performing a procedure (younger than 5 years), initial 15 minutes
Spearfish, SD
See all hospitals reporting CPT 99155 →Price type
Monument Health Network Inc’s median price of $128 is 37% 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.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Wellmark bcbs wellmark - all other plans fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 3 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 4 | UnitedHealthcare uhc mcr adv other · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 5 | Medica medica mcr adv fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Wellmark bcbs wellmark mcr adv fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 7 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 8 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 9 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 10 | Wellmark bcbs wellmark mcr adv other · outpatient | $173 | $173 | — | — | — | $173 – $173 |
Last updated: Sep 1, 2026
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.