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 MD 1ST 15 >5YRS
Austin, TX
See all hospitals reporting CPT 99152 →Price type
St.davids Surgical Hospital’s median price of $691 is 379% above the median hospital's median price ($144), higher than 94% of the 2,114 hospitals reporting CPT 99152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 38 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 mybluehealth fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 4 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 5 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 6 | Blue Cross Blue Shield ppo fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 10 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 11 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $367 | $367 | — | — | — | $367 – $367 |
| 12 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $367 | $367 | — | — | — | $367 – $367 |
| 13 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $367 | $367 | — | — | — | $367 – $367 |
| 14 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $415 | $415 | — | — | — | $415 – $415 |
| 15 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $415 | $415 | — | — | — | $415 – $415 |
| 16 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 17 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 18 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $462 | $462 | — | — | — | $462 – $462 |
| 19 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $538 | $538 | — | — | — | $538 – $538 |
| 20 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $600 | $600 | — | — | — | $600 – $600 |
| 21 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $600 | $600 | — | — | — | $600 – $600 |
| 22 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $629 | $629 | — | — | — | $629 – $629 |
| 23 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $637 | $637 | — | — | — | $637 – $637 |
| 24 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $648 | $648 | — | — | — | $648 – $648 |
| 25 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $693 | $693 | — | — | — | $693 – $693 |
Last updated: Sep 1, 2026
See Moderate sedation for patients over 5 years, first 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.