Moderate sedation for patients over 5 years, first 15 minutes at The Methodist Hospitals, Inc.

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

Mod Sed Same Phys/Qhp 5/>Yrs

Gary, IN

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Pricing by billing methodology

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How this price compares nationally

The Methodist Hospitals, Inc.’s median price of $218 is 51% above the median hospital's median price ($144), higher than 63% of the 2,114 hospitals reporting CPT 99152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99152 at The Methodist Hospitals, Inc.

Negotiated rates from the hospital’s own file: 10 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	Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Aetna medicare advantage facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Ambetter ambetter healthplan facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Anthem individual on exchange facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Anthem medicare advantage facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	Anthem pathway essentials facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
7	Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
8	Caresource caresource facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
9	Humana medicare advantage facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
10	Medicare medicare facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
11	UnitedHealthcare hmo_and_ppo_contracted_plans facility · other · outpatient	$0	$0	—	—	—	$0 – $0
12	UnitedHealthcare navigate and core payer facility · other · outpatient	$0	$0	—	—	—	$0 – $0
13	Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
14	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
15	Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges	$235	$235	—	—	—	$235 – $235
16	Anthem indiana hmo medicaid facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
17	Caresource indiana hmo medicaid facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
18	Humana indiana hmo medicaid facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
19	UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
20	Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
21	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$276	$276	—	—	—	$276 – $276
22	Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges	$280	$280	—	—	—	$280 – $280

Last updated: Aug 18, 2026

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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.