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
Mod Sed Other Phys/Qhp <5 Yrs Init 15 Min
Olivia, MN
See all hospitals reporting CPT 99155 →Price type
Olivia Hospital’s median price of $77 is 62% below the median hospital's median price ($202), higher than 10% 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: 6 payers, 11 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 | Blue Cross Blue Shield bcbs pmap [95296] facility · percent of total billed charges · bothfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Blue Cross Blue Shield bcbs medicare advantage [50299] facility · percent of total billed charges · bothfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 3 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · percent of total billed charges · bothfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 4 | Medica medica government advantage [50316] facility · percent of total billed charges · bothfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 5 | Ucare ucare pmap [50283] facility · percent of total billed charges · bothfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Medica medica choice care pmap [50314] facility · percent of total billed charges · bothfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 7 | Healthpartners hp self insured [91021] facility · percent of total billed charges · bothfrom % of charges | $165 | $165 | — | — | — | $165 – $165 |
| 8 | Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 9 | First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 10 | Blue Cross Blue Shield bcbs mn [90043] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 11 | UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
Last updated: Mar 31, 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.