What does code 99157 cost?

Across the published hospital price files, the disclosed cash price for 99157 ranges from $37.05 to $621. 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.

99157 is the billing code hospitals use to identify "HC MODERATION SEDATION EA ADDL 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.

99157

HCPCS

HC MODERATION SEDATION EA ADDL 15 MIN DIFF MD

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99157 (HC MODERATION SEDATION EA ADDL 15 MIN DIFF MD) appears at 27 hospitals with disclosed cash prices from $37.05 to $621. 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 99157 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 99157 vary by about 17× across the 26 hospitals with disclosed prices here — from $37.05 to $621. Shopping around can matter.

Hospitals

Prices shown

$37.05

Lowest cash

$621

Highest cash

code 99157 cash price32 disclosed · 26 hospitals

$37.05median ~$126$621

Lowest cash price by hospital

Deaconess Illinois Medical Center$37.05
Munson Healthcare Cadillac$61.20
Munson Medical Center$67.15
Munson Healthcare Grayling$68.00
Stanford Health Care Tri-Valley$69.60
Providence Holy Cross Medical Center$70.00

Cash price by city

Reflects your current filters.

Cash price by city$37.05 – $70.00

Marion · 1 hospital$37.05
Cadillac · 1 hospital$61.20
Traverse City · 1 hospital$67.15
Grayling · 1 hospital$68.00
Pleasanton · 1 hospital$69.60
Mission Hills · 1 hospital$70.00

36 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC MODERATION SEDATION EA ADDL 15 MIN DIFF MD Inpatient & outpatient	Endeavor Health Edward Hospital	99157 HCPCS	$507	$507	—	—
PR MODERATE SEDATION EA ADDL 15 MIN DIFF MD Inpatient & outpatient	Endeavor Health Edward Hospital	99157 HCPCS	$177	$177	—	—
Mod sed other phys/qhp ea Outpatient	Endeavor Health Edward Hospital	99157 HCPCS	—	—	$149 – $149	—
Hc Moderate Sedation Other Physician/Qualified Health Pro Each Additional 15 Mins Inpatient & outpatient	University of Chicago Medical Center	99157 HCPCS	—	—	—	—
Hc Moderate Sedation Other Physician/Qualified Health Pro Each Additional 15 Mins-Pbb Inpatient & outpatient	University of Chicago Medical Center	99157 HCPCS	—	—	—	—
Pr Mod Sed Other Phys/Qhp Each Addl 15 Mins-Pbb Inpatient & outpatient	University of Chicago Medical Center	99157 HCPCS	—	—	—	—
MOD SED OTHR PRVDR EA ADD 15 MIN Outpatient	Advocate Illinois Masonic Medical Center	99157 CPT	$175	$87.50	$61.08 – $142	—
MOD SED OTHR PRVDR EA ADD 15 MIN Outpatient	Advocate Condell Medical Center	99157 CPT	$520	$260	$61.09 – $416	—
MOD SED OTHR PRVDR EA ADD 15 MIN Outpatient	Advocate Good Samaritan Hospital	99157 CPT	$675	$338	$99.13 – $540	—
MOD SED OTHR PRVDR EA ADD 15 MIN Outpatient	Advocate South Suburban Hospital	99157 CPT	$245	$123	$85.51 – $239	—
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS Inpatient	Munson Healthcare Charlevoix Hospital	99157 CPT	$165	$140	$132 – $165	—
MOD SED OTHER PHYS/QHP EA RR BCE Inpatient	Munson Healthcare Charlevoix Hospital	99157 CPT	$165	$140	$132 – $165	—
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS Inpatient	Kalkaska Memorial Health Center	99157 CPT	$105	$89.25	$77.70 – $852	—
MOD SED OTHER PHYS/QHP EA RR BCE Inpatient	Kalkaska Memorial Health Center	99157 CPT	$105	$89.25	$77.70 – $852	—
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS Outpatient	Munson Healthcare Grayling	99157 CPT	$80.00	$68.00	$24.31 – $91.88	—
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS Inpatient	Munson Healthcare Cadillac	99157 CPT	$72.00	$61.20	$43.20 – $852	—
MOD SED OTHER PHYS/QHP EA RR BCE Inpatient	Munson Healthcare Cadillac	99157 CPT	$72.00	$61.20	$43.20 – $852	—
MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS Outpatient	Munson Medical Center	99157 CPT	$79.00	$67.15	$0.35 – $135	—
HC MOD SED OTHER PHYS EACH ADDL 15 MINS Inpatient	Deaconess Illinois Medical Center	99157 CPT	$195	$37.05	$37.05 – $175	—
HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS Inpatient & outpatient	Providence Alaska Medical Center	99157 HCPCS	$796	$621	—	—
HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS Inpatient & outpatient	Providence Kodiak Island Medical Center	99157 HCPCS	$483	$377	—	—
HC PR ED 99157 MOD SED OTHER PHYS/QHP EA ADDL 15 MIN CDM Inpatient & outpatient	Providence Kodiak Island Medical Center	99157 HCPCS	$206	$161	—	—
Mod Sed Othr Phys Ea Addl 15m Inpatient & outpatient	Stanford Health Care	99157 HCPCS	$1,086	$434	—	—
Mod Sed Othr Phys Ea Addl 15m Inpatient & outpatient	Stanford Health Care Tri-Valley	99157 HCPCS	$174	$69.60	—	—
HC PR ED 99157 MOD SED OTHER PHYS/QHP EA ADDL 15 MIN CDM Inpatient & outpatient	Providence Seward Hospital	99157 HCPCS	$455	$355	—	—

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 99157 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 Kalkaska Memorial Health Center Munson Healthcare Grayling 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 99157: frequently asked

What does code 99157 cost?: Across the published hospital price files, the disclosed cash price for 99157 ranges from $37.05 to $621. 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 99157?: 99157 is the billing code hospitals use to identify "HC MODERATION SEDATION EA ADDL 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 99157 by state

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