What does code 99156 cost?

Across the published hospital price files, the disclosed cash price for 99156 ranges from $42.81 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.

99156 is the billing code hospitals use to identify "HC MODERATE SEDATION 5 YRS OR OLDER 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.

99156

HCPCS

HC MODERATE SEDATION 5 YRS OR OLDER INITIAL 15 MIN DIFF MD

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99156 (HC MODERATE SEDATION 5 YRS OR OLDER INITIAL 15 MIN DIFF MD) appears at 27 hospitals with disclosed cash prices from $42.81 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 99156 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 99156 vary by about 30× across the 26 hospitals with disclosed prices here — from $42.81 to $1,278. Shopping around can matter.

Hospitals

Prices shown

$42.81

Lowest cash

$1,278

Highest cash

code 99156 cash price33 disclosed · 26 hospitals

$42.81median ~$167$1,278

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$42.81 – $116

Marion · 1 hospital$42.81
Mission Hills · 1 hospital$87.50
Burbank · 1 hospital$87.50
Pleasanton · 1 hospital$102
Seward · 1 hospital$106
San Pedro · 1 hospital$116

37 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC MODERATE SEDATION 5 YRS OR OLDER INITIAL 15 MIN DIFF MD Inpatient & outpatient	Endeavor Health Edward Hospital	99156 HCPCS	$505	$505	—	—
PR MODERATE SEDATION 5 YRS OR OLDER INIT 15 MIN DIFF MD Inpatient & outpatient	Endeavor Health Edward Hospital	99156 HCPCS	$218	$218	—	—
Mod sed oth phys/qhp 5/>yrs Outpatient	Endeavor Health Edward Hospital	99156 HCPCS	—	—	$185 – $185	—
Hc Moderate Sedation Other Physician/Qualified Health Pro 5/> Yrs Inpatient & outpatient	University of Chicago Medical Center	99156 HCPCS	—	—	—	—
Hc Moderate Sedation Other Physician/Qualified Health Pro 5/> Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99156 HCPCS	—	—	—	—
Pr Mod Sed Other Phys/Qhp Initial 15 Mins 5/> Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99156 HCPCS	—	—	—	—
MOD SED OTHR PRVDR >=5 1ST 15MIN Outpatient	Advocate Illinois Masonic Medical Center	99156 CPT	$855	$428	$121 – $696	—
MOD SED OTHR PRVDR >=5 1ST 15MIN Outpatient	Advocate Condell Medical Center	99156 CPT	$445	$223	$73.82 – $356	—
MOD SED OTHR PRVDR >=5 1ST 15MIN Outpatient	Advocate Good Samaritan Hospital	99156 CPT	$895	$448	$120 – $716	—
MOD SED OTHR PRVDR >=5 1ST 15MIN Outpatient	Advocate South Suburban Hospital	99156 CPT	$245	$123	$85.51 – $239	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Munson Healthcare Charlevoix Hospital	99156 CPT	$216	$184	$173 – $216	—
MOD SED OTH PHYS/QHP 5/>YRS RR BCE Inpatient	Munson Healthcare Charlevoix Hospital	99156 CPT	$216	$184	$173 – $216	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Munson Healthcare Manistee Hospital	99156 CPT	$167	$142	$83.78 – $852	—
MOD SED OTH PHYS/QHP 5/>YRS RR BCE Inpatient	Munson Healthcare Manistee Hospital	99156 CPT	$167	$142	$83.78 – $852	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Kalkaska Memorial Health Center	99156 CPT	$196	$167	$145 – $852	—
MOD SED OTH PHYS/QHP 5/>YRS RR BCE Inpatient	Kalkaska Memorial Health Center	99156 CPT	$196	$167	$145 – $852	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Munson Healthcare Cadillac	99156 CPT	$169	$144	$101 – $852	—
MOD SED OTH PHYS/QHP 5/>YRS RR BCE Inpatient	Munson Healthcare Cadillac	99156 CPT	$169	$144	$101 – $852	—
MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS Outpatient	Munson Medical Center	99156 CPT	$180	$153	$0.35 – $178	—
HC MOD SED OTHER PHYS INITIAL 15 MINS 5/> YRS Inpatient	Deaconess Illinois Medical Center	99156 CPT	$225	$42.81	$42.80 – $203	—
HC MOD SED OTHER PHYS/QHP INITIAL 15MINS GT/5YRS Inpatient & outpatient	Providence Alaska Medical Center	99156 HCPCS	$1,564	$1,220	—	—
HC MOD SED OTHER PHYS/QHP INITIAL 15MINS GT/5YRS Inpatient & outpatient	Providence Kodiak Island Medical Center	99156 HCPCS	$1,639	$1,278	—	—
HC PR ED 99156 MOD SED OTH PHYS/QHP 5/>YRS 1ST 15 MIN CDM Inpatient & outpatient	Providence Kodiak Island Medical Center	99156 HCPCS	$688	$537	—	—
Mod Sed Othr Phys >5y Intl 15m Inpatient & outpatient	Stanford Health Care	99156 HCPCS	$1,561	$624	—	—
Mod Sed Othr Phys >5y Intl 15m Inpatient & outpatient	Stanford Health Care Tri-Valley	99156 HCPCS	$256	$102	—	—

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 99156 prices

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

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Advocate Condell Medical Center Advocate Good Samaritan Hospital Advocate South Suburban Hospital Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Kalkaska Memorial Health Center Munson Healthcare Cadillac Munson Medical Center Deaconess Illinois Medical Center Providence Alaska Medical Center Providence Kodiak Island Medical Center Stanford Health Care Stanford Health Care Tri-Valley Providence Seward Hospital Providence Valdez Medical Center Providence Cedars-Sinai Tarzana Medical Center Providence Holy Cross Medical Center Providence Little Co of Mary Med Center San Pedro Texas Health Arlington Memorial Hospital Texas Health Hospital Frisco Providence Little Company of Mary Med Center Torrance Providence Saint John's Health Center Providence Saint Joseph Medical Center Providence St Joseph Medical Center

Code 99156: frequently asked

What does code 99156 cost?: Across the published hospital price files, the disclosed cash price for 99156 ranges from $42.81 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 99156?: 99156 is the billing code hospitals use to identify "HC MODERATE SEDATION 5 YRS OR OLDER 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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Hospitals publishing code 99156 by state

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