What does code 99155 cost?

Across the published hospital price files, the disclosed cash price for 99155 ranges from $56.39 to $1,278. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

99155 is the billing code hospitals use to identify "HC MODERATE SEDATION < 5 YRS INITIAL 15 MIN DIFF MD" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

99155

HCPCS

HC MODERATE SEDATION < 5 YRS INITIAL 15 MIN DIFF MD

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99155 (HC MODERATE SEDATION < 5 YRS INITIAL 15 MIN DIFF MD) appears at 37 hospitals with disclosed cash prices from $56.39 to $1,278. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 99155 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 99155 vary by about 23× across the 36 hospitals with disclosed prices here — from $56.39 to $1,278. Shopping around can matter.

Hospitals

Prices shown

$56.39

Lowest cash

$1,278

Highest cash

code 99155 cash price48 disclosed · 36 hospitals

$56.39median ~$309$1,278

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$56.39 – $121

Marion · 1 hospital$56.39
Mission Hills · 1 hospital$87.50
Burbank · 1 hospital$87.50
San Pedro · 1 hospital$116
Torrance · 1 hospital$116
Cadillac · 1 hospital$121

52 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC MODERATE SEDATION < 5 YRS INITIAL 15 MIN DIFF MD Inpatient & outpatient	Endeavor Health Edward Hospital	99155 HCPCS	$496	$496	—	—
PR MODERATE SEDATION < 5 YRS INITIAL 15 MIN DIFF MD Inpatient & outpatient	Endeavor Health Edward Hospital	99155 HCPCS	$248	$248	—	—
Mod sed oth phys/qhp <5 yrs Outpatient	Endeavor Health Edward Hospital	99155 HCPCS	—	—	$202 – $202	—
Hc Moderate Sedation Other Physician/Qualified Health Pro <5 Yrs Inpatient & outpatient	University of Chicago Medical Center	99155 HCPCS	—	—	—	—
Hc Moderate Sedation Other Physician/Qualified Health Pro <5 Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99155 HCPCS	—	—	—	—
Pr Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99155 HCPCS	—	—	—	—
MOD SED OTHR PRVDR <5 1ST 15 MIN Outpatient	Advocate Illinois Masonic Medical Center	99155 CPT	$505	$253	$170 – $411	—
MOD SED OTHR PRVDR <5 1ST 15 MIN Outpatient	Advocate Condell Medical Center	99155 CPT	$835	$418	$104 – $668	—
MOD SED OTHR PRVDR <5 1ST 15 MIN Outpatient	Advocate South Suburban Hospital	99155 CPT	$245	$123	$85.51 – $239	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS Inpatient	Munson Healthcare Charlevoix Hospital	99155 CPT	$273	$232	$218 – $273	—
MOD SED OTH PHYS/QHP <5 YRS RR BCE Inpatient	Munson Healthcare Charlevoix Hospital	99155 CPT	$273	$232	$218 – $273	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS Inpatient	Kalkaska Memorial Health Center	99155 CPT	$196	$167	$145 – $852	—
MOD SED OTH PHYS/QHP <5 YRS RR BCE Inpatient	Kalkaska Memorial Health Center	99155 CPT	$196	$167	$145 – $852	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS Inpatient	Munson Healthcare Cadillac	99155 CPT	$142	$121	$85.20 – $852	—
MOD SED OTH PHYS/QHP <5 YRS RR BCE Inpatient	Munson Healthcare Cadillac	99155 CPT	$142	$121	$85.20 – $852	—
HC MOD SED OTHER PHYS INITIAL 15 MINS <5 YRS Inpatient	Deaconess Illinois Medical Center	99155 CPT	$297	$56.39	$56.38 – $267	—
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS LT/5YRS Inpatient & outpatient	Providence Alaska Medical Center	99155 HCPCS	$1,564	$1,220	—	—
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS LT/5YRS Inpatient & outpatient	Providence Kodiak Island Medical Center	99155 HCPCS	$1,639	$1,278	—	—
HC PR ED 99155 MOD SED OTHER PHYS/QHP INITIAL 15 MINS/YOUNGER THAN 5YRS CDM Inpatient & outpatient	Providence Kodiak Island Medical Center	99155 HCPCS	$688	$537	—	—
HC PR ED 99155 MOD SED OTHER PHYS/QHP INITIAL 15 MINS/YOUNGER THAN 5YRS CDM Inpatient & outpatient	Providence Seward Hospital	99155 HCPCS	$455	$355	—	—
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS<5YRS Inpatient & outpatient	Providence Valdez Medical Center	99155 HCPCS	$912	$711	—	—
HC PR ED 99155 MOD SED OTH PHYS/QHP <5 YRS 1ST 15 MIN CDM Inpatient & outpatient	Providence Valdez Medical Center	99155 HCPCS	$444	$346	—	—
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS LT/5YRS Inpatient & outpatient	Providence Cedars-Sinai Tarzana Medical Center	99155 HCPCS	$406	$142	—	—
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS LT/5YRS Inpatient & outpatient	Providence Holy Cross Medical Center	99155 HCPCS	$250	$87.50	—	—
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS LT/5YRS Inpatient & outpatient	Providence Little Co of Mary Med Center San Pedro	99155 HCPCS	$331	$116	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 99155 prices

Open a hospital to see this code in the context of its full published prices.

Code 99155: frequently asked

What does code 99155 cost?: Across the published hospital price files, the disclosed cash price for 99155 ranges from $56.39 to $1,278. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 99155?: 99155 is the billing code hospitals use to identify "HC MODERATE SEDATION < 5 YRS INITIAL 15 MIN DIFF MD" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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