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
MOD SED SME MD>5 YRS INIT 15MN
New Castle, PA
See all hospitals reporting CPT 99152 →Price type
UPMC Jameson’s median price of $50 is 65% below the median hospital's median price ($144), higher than 25% of the 2,114 hospitals reporting CPT 99152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 12 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 medicaid facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 7 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 9 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 10 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 11 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 12 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
Last updated: Mar 6, 2026
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.