Moderate sedation for child under 5, first 15 minutes at Progress West 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

HC M Sed Same MD <5 Yr Initial 15mn

O'Fallon, MO

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Pricing by billing methodology

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How this price compares nationally

Progress West Hospital’s median price of $294 is 99% above the median hospital's median price ($148), higher than 73% of the 1,765 hospitals reporting CPT 99151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99151 at Progress West Hospital

Negotiated rates from the hospital’s own file: 11 payers, 22 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 bjc hb united health care community percent of total billed charges · bothfrom % of charges	$203	$203	—	—	—	$203 – $203
2	Cigna bjc hb cigna local plus community percent of total billed charges · bothfrom % of charges	$237	$237	—	—	—	$237 – $237
3	Cigna bjc hb cigna special community percent of total billed charges · bothfrom % of charges	$239	$239	—	—	—	$239 – $239
4	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$250	$250	—	—	—	$250 – $250
5	Aetna bjc hb aetna commercial community percent of total billed charges · bothfrom % of charges	$255	$255	—	—	—	$255 – $255
6	Cigna bjc hb cigna hmo/ppo community percent of total billed charges · bothfrom % of charges	$257	$257	—	—	—	$257 – $257
7	Blue Cross Blue Shield bjc hb anthem choice community percent of total billed charges · bothfrom % of charges	$294	$294	—	—	—	$294 – $294
8	Blue Cross Blue Shield bjc hb anthem access community percent of total billed charges · bothfrom % of charges	$297	$297	—	—	—	$297 – $297
9	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$334	$334	—	—	—	$334 – $334
10	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$334	$334	—	—	—	$334 – $334
11	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$334	$334	—	—	—	$334 – $334
12	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$334	$334	—	—	—	$334 – $334
13	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$338	$338	—	—	—	$338 – $338
14	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$338	$338	—	—	—	$338 – $338
15	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$338	$338	—	—	—	$338 – $338
16	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$338	$338	—	—	—	$338 – $338
17	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$360	$360	—	—	—	$360 – $360
18	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$360	$360	—	—	—	$360 – $360
19	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$383	$383	—	—	—	$383 – $383
20	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$383	$383	—	—	—	$383 – $383
21	Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges	$392	$392	—	—	—	$392 – $392
22	Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges	$450	$450	—	—	—	$450 – $450

Last updated: Dec 15, 2025

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