Moderate sedation for child under 5, first 15 minutes at UPMC Mercy

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 SED SAME PHYS/QHP <5 YRS

Pittsburgh, PA

See all hospitals reporting CPT 99151 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

UPMC Mercy’s median price of $356 is 144% above the median hospital's median price ($146), higher than 80% of the 1,782 hospitals reporting CPT 99151. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99151 at UPMC Mercy

Negotiated rates from the hospital’s own file: 7 payers, 28 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
2	Highmark medicaid facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
4	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
5	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
6	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$246	$246	—	—	—	$246 – $246
7	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$247	$247	—	—	—	$247 – $247
8	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
9	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
10	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
11	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
12	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$307	$307	—	—	—	$307 – $307
13	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$307	$307	—	—	—	$307 – $307
14	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
15	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
16	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$356	$356	—	—	—	$356 – $356
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$356	$356	—	—	—	$356 – $356
19	Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges	$371	$371	—	—	—	$371 – $371
20	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$371	$371	—	—	—	$371 – $371
21	Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges	$385	$385	—	—	—	$385 – $385
22	Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges	$385	$385	—	—	—	$385 – $385
23	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$404	$404	$81	20%	—	$323 – $485
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$404	$404	$81	20%	—	$323 – $485
25	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$404	$404	—	—	—	$404 – $404

Page 1 of 2 · 28 rates

Last updated: Mar 6, 2026

Compare to other hospitals

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.