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 OTH PHYS/QHP <5 YRS
Wheeling, WV
See all hospitals reporting CPT 99155 →Price type
Wheeling Hospital, Inc.’s median price of $65 is 68% below the median hospital's median price ($202), higher than 6% of the 1,452 hospitals reporting CPT 99155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 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 | Highmark all pla facility · case rate · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Highmark highmark wholecare pennsylvania medicaid facility · case rate · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Highmark chip facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Highmark mgd mcaid facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Aetna better health mgd medicaid facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 6 | Aetna Better Health chip facility · fee schedule · outpatient | $70 | $70 | $5 | 7% | — | $65 – $74 |
| 7 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
Last updated: Jul 9, 2026
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.