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
HC MOD CON SED SAME PHYS < 5 YRS
Hanover, PA
See all hospitals reporting CPT 99151 →Price type
UPMC Hanover’s median price of $844 is 472% above the median hospital's median price ($148), higher than 95% of the 1,765 hospitals reporting CPT 99151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 3 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 5 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $448 | $448 | — | — | — | $448 – $448 |
| 6 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $719 | $719 | — | — | — | $719 – $719 |
| 7 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $860 | $860 | — | — | — | $860 – $860 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $860 | $860 | — | — | — | $860 – $860 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $921 | $921 | — | — | — | $921 – $921 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $931 | $931 | — | — | — | $931 – $931 |
| 11 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $987 | $987 | — | — | — | $987 – $987 |
| 12 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Mar 6, 2026
See Moderate sedation for child under 5, first 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.