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 Oth Phys < 5 Yrs 1st 15 Min
Utica, NY
See all hospitals reporting CPT 99155 →Price type
MVHS, Inc.’s median price of $391 is 93% above the median hospital's median price ($202), higher than 83% 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: 7 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 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $230 | $230 | — | — | — | $230 – $230 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 3 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $373 | $373 | — | — | — | $373 – $373 |
| 4 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $391 | $391 | — | — | — | $391 – $391 |
| 5 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $391 | $391 | — | — | — | $391 – $391 |
| 6 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $391 | $391 | — | — | — | $391 – $391 |
| 7 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $391 | $391 | — | — | — | $391 – $391 |
| 8 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $406 | $406 | — | — | — | $406 – $406 |
| 9 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 10 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $431 | $431 | — | — | — | $431 – $431 |
Last updated: Aug 7, 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.