What does code 99152 cost?

Across the published hospital price files, the disclosed cash price for 99152 ranges from $30.60 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.

99152 is the billing code hospitals use to identify "HC MODERATE SEDATION 5 YRS OR OLDER INIT 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.

99152

HCPCS

HC MODERATE SEDATION 5 YRS OR OLDER INIT 15 MIN SAME MD

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99152 (HC MODERATE SEDATION 5 YRS OR OLDER INIT 15 MIN SAME MD) appears at 54 hospitals with disclosed cash prices from $30.60 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 99152 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 99152 vary by about 42× across the 53 hospitals with disclosed prices here — from $30.60 to $1,278. Shopping around can matter.

Hospitals

Prices shown

$30.60

Lowest cash

$1,278

Highest cash

code 99152 cash price72 disclosed · 53 hospitals

$30.60median ~$250$1,278

Lowest cash price by hospital

Munson Healthcare Charlevoix Hospital$30.60
Providence Milwaukie Hospital$45.00
Providence Portland Medical Center$45.00
Providence St Vincent Medical Center$45.00
Deaconess Illinois Medical Center$45.80
Providence Newberg Medical Center$64.50

Cash price by city

Reflects your current filters.

Cash price by city$30.60 – $519

Charlevoix · 1 hospital$30.60
Milwaukie · 1 hospital$45.00–$463
Portland · 2 hospitals$45.00–$463
Marion · 1 hospital$45.80
Newberg · 1 hospital$64.50–$463
Medford · 1 hospital$66.00–$519

76 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC MODERATE SEDATION 5 YRS OR OLDER INIT 15 MIN SAME MD Inpatient & outpatient	Endeavor Health Edward Hospital	99152 HCPCS	$710	$710	—	—
EH PR MODERATE SEDATION 5 YRS OR OLDER INITIAL 15 MIN SAME MD Inpatient & outpatient	Endeavor Health Edward Hospital	99152 HCPCS	$141	$141	—	—
Mod sed same phys/qhp 5/>yrs Outpatient	Endeavor Health Edward Hospital	99152 HCPCS	—	—	$31.37 – $31.37	—
Hc Moderate Sedation Same Physician/Qualified Health Pro />5 Yrs Inpatient & outpatient	University of Chicago Medical Center	99152 HCPCS	—	—	—	—
Hc Moderate Sedation Same Physician/Qualified Health Pro />5 Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99152 HCPCS	—	—	—	—
Pr Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs-Pbb Inpatient & outpatient	University of Chicago Medical Center	99152 HCPCS	—	—	—	—
MOD SEDATION >= 5 YR 1ST 15 MIN Outpatient	Advocate Illinois Masonic Medical Center	99152 CPT	$855	$428	$150 – $696	—
MOD SEDATION >= 5 YR 1ST 15 MIN Outpatient	Advocate Condell Medical Center	99152 CPT	$600	$300	$91.65 – $480	—
MOD SEDATION >= 5 YR 1ST 15 MIN Outpatient	Advocate South Suburban Hospital	99152 CPT	$245	$123	$85.51 – $239	—
MOD SEDATION >= 5 YR 1ST 15 MIN Inpatient	Aurora BayCare Medical Center	99152 CPT	$670	$335	$402 – $570	—
MOD SEDATION >= 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Burlington	99152 CPT	$500	$250	$300 – $425	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Munson Healthcare Charlevoix Hospital	99152 CPT	$36.00	$30.60	$28.80 – $36.00	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Munson Healthcare Manistee Hospital	99152 CPT	$679	$577	$341 – $852	—
Mac >5 yrs 1st 15m Same Phy/Qhp Inpatient	Munson Healthcare Manistee Hospital	99152 CPT	$679	$577	$341 – $852	—
Mac >5yrs 1st 15m Same Phy/QHP (PC-2600) Inpatient	Munson Healthcare Manistee Hospital	99152 CPT	$679	$577	$341 – $852	—
MOD SEDATION >= 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Bay Area	99152 CPT	$305	$153	$183 – $258	—
MOD SEDATION >= 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Fond du Lac	99152 CPT	$180	$90.00	$108 – $153	—
MOD SEDATION >= 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Grafton	99152 CPT	$790	$395	$474 – $672	—
MOD SEDATION >= 5 YR 1ST 15 MIN Inpatient	Aurora Medical Center Kenosha	99152 CPT	$375	$188	$225 – $319	—
MOD SEDATION >= 5 YR 1ST 15 MIN Inpatient	Aurora Lakeland Medical Center	99152 CPT	$500	$250	$300 – $425	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Kalkaska Memorial Health Center	99152 CPT	$196	$167	$145 – $852	—
Mac >5 yrs 1st 15m Same Phy/Qhp Inpatient	Kalkaska Memorial Health Center	99152 CPT	$192	$163	$142 – $852	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS Outpatient	Paul Oliver Memorial Hospital	99152 CPT	$162	$138	$33.77 – $154	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS Outpatient	Munson Healthcare Grayling	99152 CPT	$206	$175	$0.45 – $175	—
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS Inpatient	Munson Healthcare Cadillac	99152 CPT	$186	$158	$112 – $852	—

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 99152 prices

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

Code 99152: frequently asked

What does code 99152 cost?: Across the published hospital price files, the disclosed cash price for 99152 ranges from $30.60 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 99152?: 99152 is the billing code hospitals use to identify "HC MODERATE SEDATION 5 YRS OR OLDER INIT 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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Hospitals publishing code 99152 by state

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