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 OTH PHYS/QHP <5 YRS
Alice, TX
See all hospitals reporting CPT 99155 →Price type
Spohn Hospital Alice’s median price of $297 is 47% above the median hospital's median price ($202), higher than 69% 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: 3 payers, 7 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 | Aetna mm fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 4 | Bcbs Tx heb fee schedule · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 5 | Bcbs Tx ppo fee schedule · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 6 | Bcbs Tx traditional fee schedule · outpatient | $329 | $329 | — | — | — | $329 – $329 |
| 7 | Humana choicecare other · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
Last updated: Jan 13, 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.