Additional time of moderate sedation by physician 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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Pricing by billing methodology

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How this price compares nationally

UPMC Hanover’s median price of $262 is 127% above the median hospital's median price ($116), higher than 84% of the 1,636 hospitals reporting CPT 99157. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99157 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	$59	$59	—	—	—	$59 – $59
2	Highmark medicaid facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
3	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
4	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
5	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
6	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$223	$223	—	—	—	$223 – $223
7	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
8	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
9	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$286	$286	—	—	—	$286 – $286
10	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$289	$289	—	—	—	$289 – $289
11	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$307	$307	—	—	—	$307 – $307
12	Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
13	Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
14	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
15	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$334	$334	—	—	—	$334 – $334

Last updated: Mar 6, 2026

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