Price Checker / CPT 99152
How much does Moderate sedation (first 15 min) cost?
CPT 99152 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 48x the fair price — among the most extreme markups. Dispute this.
Fair price
$75–$150
What this should cost
With insurance
~$690
Typical out-of-pocket
Overcharged if over
$190
Push back above this
The average hospital charge of $5,228 is $5,118 over the fair price (about 48x the fair rate).
What hospitals charge for Moderate sedation (first 15 min)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Centrastate Medical Center FREEHOLD, NJ | $13,933 | $4,037 | 26986% |
| McLaren Flint FLINT, MI | $8,233 | $4,116 | 15905% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR Taylor, TX | — | — | 13520% |
| Baptist Health Princeton Hospital , AL | $6,114 | $4,586 | 11786% |
| Bear Lake Memorial Hospital MONTPELIER, ID | $767 | $652 | 1391% |
| Iroquois Memorial Hospital WATSEKA, IL | $365 | $256 | 610% |
| BARAGA COUNTY MEMORIAL HOSPITAL L' ANSE, MI | $175 | $175 | 240% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Moderate sedation (first 15 min)
CPT code 99152 refers to moderate sedation (first 15 min) (billing description: "Mod sed same phys/qhp 5/>yrs"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $11 in a facility (hospital or surgery center) and $51 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.