What does code 99151 cost?

Across the published hospital price files, the disclosed cash price for 99151 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.

99151 is the billing code hospitals use to identify "HC MODERATE SEDATION < 5 YRS OLD INITIAL 15 MIN SAME 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.

99151

HCPCS

HC MODERATE SEDATION < 5 YRS OLD INITIAL 15 MIN SAME MD

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99151 (HC MODERATE SEDATION < 5 YRS OLD INITIAL 15 MIN SAME MD) appears at 34 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 99151 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 99151 vary by about 23× across the 33 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 99151 cash price44 disclosed · 33 hospitals

$56.39median ~$228$1,278

Lowest cash price by hospital

Deaconess Illinois Medical Center$56.39
Munson Healthcare Charlevoix Hospital$58.65
Stanford Health Care Tri-Valley$82.40
Providence Holy Cross Medical Center$87.50
Providence Saint Joseph Medical Center$87.50
Aurora Medical Center Fond du Lac$90.00

Cash price by city

Reflects your current filters.

Cash price by city$56.39 – $90.00

Marion · 1 hospital$56.39
Charlevoix · 1 hospital$58.65
Pleasanton · 1 hospital$82.40
Mission Hills · 1 hospital$87.50
Burbank · 1 hospital$87.50
Fond Du Lac · 1 hospital$90.00

48 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC MODERATE SEDATION < 5 YRS OLD INITIAL 15 MIN SAME MD Inpatient & outpatient	Endeavor Health Edward Hospital	99151 HCPCS	$750	$750	—	—
PR MODERATE SEDATION < 5 YRS OLD INITIAL 15 MIN SAME MD Inpatient & outpatient	Endeavor Health Edward Hospital	99151 HCPCS	$206	$206	—	—
Mod sed same phys/qhp <5 yrs Outpatient	Endeavor Health Edward Hospital	99151 HCPCS	—	—	$58.41 – $58.41	—
Hc Moderate Sedation Same Physician/Qualified Health Pro <5 Yrs Inpatient & outpatient	University of Chicago Medical Center	99151 HCPCS	—	—	—	—
Hc Moderate Sedation Same Physician/Qualified Health Pro <5 Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99151 HCPCS	—	—	—	—
Pr Mod Sed Same Phys/Qhp Initial 15 Mins <5 Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99151 HCPCS	—	—	—	—
SEDATION < 5 YR 1ST 15 MIN Outpatient	Advocate South Suburban Hospital	99151 CPT	$245	$123	$85.51 – $239	—
HC RAD MOD SED SAME PHYS INITIAL 15 MINS <5 YRS Inpatient	Deaconess Gateway Hospital	99151 CPT	$869	$287	$287 – $765	—
SEDATION < 5 YR 1ST 15 MIN Inpatient	Aurora BayCare Medical Center	99151 CPT	$670	$335	$402 – $570	—
SEDATION < 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Burlington	99151 CPT	$500	$250	$300 – $425	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS Inpatient	Munson Healthcare Charlevoix Hospital	99151 CPT	$69.00	$58.65	$55.20 – $69.00	—
MOD SED SAME PHYS/QHP <5 YRS RR BCE Inpatient	Munson Healthcare Charlevoix Hospital	99151 CPT	$69.00	$58.65	$55.20 – $69.00	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS Inpatient	Munson Healthcare Manistee Hospital	99151 CPT	$679	$577	$341 – $852	—
MOD SED SAME PHYS/QHP <5 YRS RR BCE Inpatient	Munson Healthcare Manistee Hospital	99151 CPT	$679	$577	$341 – $852	—
Mac <5 yrs 1st 15m Same Phy/Qhp Inpatient	Munson Healthcare Manistee Hospital	99151 CPT	$679	$577	$341 – $852	—
SEDATION < 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Bay Area	99151 CPT	$305	$153	$183 – $258	—
SEDATION < 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Fond du Lac	99151 CPT	$180	$90.00	$108 – $153	—
SEDATION < 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Kenosha	99151 CPT	$375	$188	$225 – $319	—
SEDATION < 5 YR 1ST 15 MIN Inpatient	Aurora Lakeland Medical Center	99151 CPT	$500	$250	$300 – $425	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS Inpatient	Kalkaska Memorial Health Center	99151 CPT	$433	$368	$320 – $852	—
MOD SED SAME PHYS/QHP <5 YRS RR BCE Inpatient	Kalkaska Memorial Health Center	99151 CPT	$433	$368	$320 – $852	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS Inpatient	Munson Healthcare Cadillac	99151 CPT	$211	$179	$127 – $852	—
MOD SED SAME PHYS/QHP <5 YRS RR BCE Inpatient	Munson Healthcare Cadillac	99151 CPT	$211	$179	$127 – $852	—
Mac <5 yrs 1st 15m Same Phy/Qhp Inpatient	Munson Healthcare Cadillac	99151 CPT	$201	$171	$121 – $852	—
MOD SED SAME PHYS/QHP <5 YRS Outpatient	Munson Medical Center	99151 CPT	$209	$178	$30.54 – $205	—

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 99151 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 South Suburban Hospital Deaconess Gateway Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Kenosha Aurora Lakeland Medical Center Kalkaska Memorial Health Center Munson Healthcare Cadillac Munson Medical Center Henderson Hospital Deaconess Gibson Hospital Deaconess Illinois Medical Center Providence Alaska Medical Center Providence Kodiak Island Medical Center Stanford Health Care Tri-Valley Providence Seward Hospital Providence Valdez Medical Center Healdsburg Hospital 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 Atrium Health Anson

Code 99151: frequently asked

What does code 99151 cost?: Across the published hospital price files, the disclosed cash price for 99151 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 99151?: 99151 is the billing code hospitals use to identify "HC MODERATE SEDATION < 5 YRS OLD INITIAL 15 MIN SAME 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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