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
HC Mod Sed Same Phys/Qhp 5/>Yrs Initial 15 Min
Utica, NY
See all hospitals reporting CPT 99152 →Price type
MVHS, Inc.’s median price of $89 is 39% below the median hospital's median price ($144), higher than 39% of the 2,114 hospitals reporting CPT 99152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 21 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 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Aetna aetna medicare advantage fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Medicare medicare fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 6 | WellCare wellcare fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Humana choicecare fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Humana humana medicare advantage fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Cigna mvp hmo/ppo fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 12 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 13 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $365 | $365 | — | — | 1–10 | $365 – $365 |
| 14 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $398 | $398 | — | — | — | $398 – $398 |
| 15 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $417 | $417 | — | — | — | $417 – $417 |
| 16 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $417 | $417 | — | — | — | $417 – $417 |
| 17 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $417 | $417 | — | — | — | $417 – $417 |
| 18 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $417 | $417 | — | — | — | $417 – $417 |
| 19 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $434 | $434 | — | — | — | $434 – $434 |
| 20 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $447 | $447 | — | — | 1–10 | $447 – $447 |
| 21 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $460 | $460 | — | — | — | $460 – $460 |
Last updated: Aug 7, 2026
See Moderate sedation for patients over 5 years, first 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.