Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at Page Hospital

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

ED SED MOD DIFF 0-4Y INIT 15MN

Page, AZ

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How this price compares nationally

Page Hospital’s median price of $157 is 22% below the median hospital's median price ($202), higher than 38% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99155 at Page Hospital

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Humana medicare advantage facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$75	$85	$18	22%	—	$75 – $117
3	Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges	$110	$125	$27	22%	—	$110 – $172
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$117	$133	$29	22%	—	$117 – $183
5	Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$117	$133	$29	22%	—	$117 – $183
6	Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges	$117	$133	$29	22%	—	$117 – $183
7	Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$117	$133	$29	22%	—	$117 – $183
8	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$128	$146	$32	22%	—	$128 – $201
9	Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges	$130	$149	$32	22%	—	$130 – $204
10	Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges	$139	$159	$34	22%	—	$139 – $218
11	Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges	$146	$167	$36	22%	—	$146 – $229
12	Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$159	$181	$39	22%	—	$159 – $249
13	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$160	$182	$39	22%	—	$160 – $250
14	UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
15	UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
16	Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges	$174	$198	$43	22%	—	$174 – $272
17	Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges	$174	$198	$43	22%	—	$174 – $272
18	Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges	$174	$198	$43	22%	—	$174 – $272
19	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$192	$220	$47	22%	—	$192 – $302
20	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$196	$224	$48	22%	—	$196 – $307
21	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$196	$224	$48	22%	—	$196 – $307
22	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$200	$228	$49	22%	—	$200 – $313
23	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges	$203	$231	$50	22%	—	$203 – $318
24	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges	$203	$231	$50	22%	—	$203 – $318

Last updated: Mar 2, 2026

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