Moderate sedation by non-anesthesia physician, first 15 minutes, child under 5 at UPMC Hanover

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

HC MOD CON SED DIFF PHYS < 5 YRS

Hanover, PA

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How this price compares nationally

UPMC Hanover’s median price of $521 is 157% above the median hospital's median price ($202), higher than 92% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99155 at UPMC Hanover

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	$95	$95	—	—	—	$95 – $95
2	Highmark medicaid facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
3	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
4	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
5	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$276	$276	—	—	—	$276 – $276
6	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$444	$444	—	—	—	$444 – $444
7	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$531	$531	—	—	—	$531 – $531
8	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$531	$531	—	—	—	$531 – $531
9	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$569	$569	—	—	—	$569 – $569
10	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$575	$575	—	—	—	$575 – $575
11	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$609	$609	—	—	—	$609 – $609
12	Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges	$664	$664	—	—	—	$664 – $664
13	Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges	$664	$664	—	—	—	$664 – $664
14	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$664	$664	—	—	—	$664 – $664
15	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$664	$664	—	—	—	$664 – $664

Last updated: Mar 6, 2026

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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.