Moderate sedation by physician, initial 15 minutes, age 5 and older at TMC Bonham 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

MOD SEDATE>5YRS 15MIN OTHER MD

Bonham, TX

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Pricing by billing methodology

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How this price compares nationally

TMC Bonham Hospital’s median price of $90 is 50% below the median hospital's median price ($180), higher than 25% of the 1,689 hospitals reporting CPT 99156. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99156 at TMC Bonham Hospital

Negotiated rates from the hospital’s own file: 8 payers, 13 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 medicare percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
2	Humana medicare percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
3	UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
4	Molina medicaid fee schedule · both	$86	$82	$11	14%	—	$66 – $92
5	Superior Healthplan medicaid fee schedule · both	$85	$85	$3	3%	—	$82 – $88
6	UnitedHealthcare medicaid fee schedule · both	$85	$85	$3	3%	—	$82 – $88
7	Ambetter qhp percent of total billed charges · bothfrom % of charges	$102	$102	—	—	—	$102 – $102
8	Cigna hmo percent of total billed charges · bothfrom % of charges	$120	$120	—	—	—	$120 – $120
9	Aetna ppo percent of total billed charges · bothfrom % of charges	$161	$161	—	—	—	$161 – $161
10	Blue Cross Blue Shield hmo percent of total billed charges · bothfrom % of charges	$192	$192	—	—	—	$192 – $192
11	Blue Cross Blue Shield managed_care percent of total billed charges · bothfrom % of charges	$192	$192	—	—	—	$192 – $192
12	Blue Cross Blue Shield ppo percent of total billed charges · bothfrom % of charges	$192	$192	—	—	—	$192 – $192
13	Blue Cross Blue Shield qhp percent of total billed charges · bothfrom % of charges	$192	$192	—	—	—	$192 – $192

Last updated: Sep 1, 2026

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