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Procedure price report · Anesthesia

Sedation by a second provider, each extra 15 minutes

CPT 99157the billing code this page is about

Moderate sedation given by a clinician who is not the one performing the procedure; this code covers each additional 15 minutes of sedation time beyond the first block.

Hospitals typically charge $119 cash for this outpatient procedure — the median across 2,091 hospitals that filed a usable cash price; the average of the middle 60% is $127. Most fall between $58 and $234 (20th–80th percentile).

Hospitals
2,091
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,091 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$40$68$119$209$345

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($40 vs $345).

How the prices are spread

$29 – $38: 85 hospitals$29$38 – $51: 145 hospitals$51 – $68: 184 hospitals$51$68 – $90: 240 hospitals$90 – $120: 292 hospitals$90$120 – $159: 301 hospitals$159 – $212: 235 hospitals$159$212 – $282: 189 hospitals$282 – $375: 148 hospitals$282$375 – $498: 64 hospitals$375median $119price bands are equal on a log scale
Hospitals per price band (1,883 of 2,091 — the bands cover the 5th to 95th percentile)
FromToHospitals
$29$3885
$38$51145
$51$68184
$68$90240
$90$120292
$120$159301
$159$212235
$212$282189
$282$375148
$375$49864

By state

The median cash price in each state, against the national median of $119.

Alaska: median $189 across 14 hospitalsAK$189Maine: median $79 across 20 hospitalsME$79Vermont: median $129 across 12 hospitalsVT$129New Hampshire: median $56 across 16 hospitalsNH$56Washington: median $150 across 64 hospitalsWA$150Idaho: median $168 across 15 hospitalsID$168Montana: median $137 across 18 hospitalsMT$137North Dakota: median $104 across 10 hospitalsND$104Minnesota: median $145 across 80 hospitalsMN$145Illinois: median $141 across 72 hospitalsIL$141Wisconsin: median $130 across 58 hospitalsWI$130Michigan: median $94 across 60 hospitalsMI$94New York: median $98 across 73 hospitalsNY$98Massachusetts: median $169 across 31 hospitalsMA$169Oregon: median $125 across 42 hospitalsOR$125Nevada: median $151 across 12 hospitalsNV$151Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $157 across 12 hospitalsSD$157Iowa: median $105 across 48 hospitalsIA$105Indiana: median $67 across 51 hospitalsIN$67Ohio: median $179 across 89 hospitalsOH$179Pennsylvania: median $69 across 69 hospitalsPA$69New Jersey: median $101 across 17 hospitalsNJ$101Connecticut: median $203 across 21 hospitalsCT$203Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $174 across 147 hospitalsCA$174Utah: median $318 across 32 hospitalsUT$318Colorado: median $97 across 58 hospitalsCO$97Nebraska: median $111 across 37 hospitalsNE$111Missouri: median $96 across 47 hospitalsMO$96Kentucky: median $81 across 44 hospitalsKY$81West Virginia: median $101 across 21 hospitalsWV$101Virginia: median $116 across 55 hospitalsVA$116Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $106 across 47 hospitalsAZ$106New Mexico: median $102 across 20 hospitalsNM$102Kansas: median $72 across 46 hospitalsKS$72Arkansas: median $98 across 14 hospitalsAR$98Tennessee: median $57 across 47 hospitalsTN$57North Carolina: median $106 across 61 hospitalsNC$106South Carolina: median $100 across 35 hospitalsSC$100Oklahoma: median $102 across 36 hospitalsOK$102Louisiana: median $48 across 26 hospitalsLA$48Mississippi: median $124 across 31 hospitalsMS$124Alabama: median $94 across 17 hospitalsAL$94Georgia: median $82 across 71 hospitalsGA$82Hawaii: median $95 across 13 hospitalsHI$95Texas: median $112 across 154 hospitalsTX$112Florida: median $169 across 104 hospitalsFL$169
Cash price by state, most expensive first. National median $119. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT32$318+167%$122 – $353
Connecticut CT21$203+71%$111 – $438
Alaska AK14$189+58%$101 – $571
Ohio OH89$179+51%$70 – $330
California CA147$174+46%$99 – $336
Florida FL104$169+42%$83 – $437
Massachusetts MA31$169+42%$55 – $202
Idaho ID15$168+41%$87 – $599
South Dakota SD12$157+32%$87 – $157
Nevada NV12$151+27%$118 – $211
Washington WA64$150+26%$90 – $220
Minnesota MN80$145+22%$75 – $275
Illinois IL72$141+18%$70 – $286
Montana MT18$137+15%$88 – $190
Wisconsin WI58$130+9%$77 – $162
Vermont VT12$129+9%$91 – $323
Oregon OR42$125+5%$51 – $155
Mississippi MS31$124+4%$53 – $172
Virginia VA55$116−3%$83 – $265
Texas TX154$112−6%$70 – $228
Nebraska NE37$111−7%$45 – $138
Arizona AZ47$106−11%$58 – $644
North Carolina NC61$106−11%$38 – $225
Iowa IA48$105−12%$55 – $139
North Dakota ND10$104−12%$22 – $138
Oklahoma OK36$102−14%$62 – $209
New Mexico NM20$102−15%$47 – $163
New Jersey NJ17$101−15%$9 – $344
West Virginia WV21$101−15%$65 – $137
South Carolina SC35$100−16%$97 – $149
New York NY73$98−18%$42 – $230
Arkansas AR14$98−18%$49 – $124
Colorado CO58$97−19%$25 – $184
Missouri MO47$96−19%$70 – $177
Hawaii HI13$95−20%$49 – $408
Michigan MI60$94−21%$67 – $252
Alabama AL17$94−21%$65 – $154
Georgia GA71$82−31%$62 – $240
Kentucky KY44$81−32%$39 – $371
Maine ME20$79−33%$35 – $127
Kansas KS46$72−39%$47 – $145
Pennsylvania PA69$69−42%$35 – $236
Indiana IN51$67−44%$35 – $156
Tennessee TN47$57−52%$34 – $125
New Hampshire NH16$56−53%$40 – $124
Louisiana LA26$48−60%$29 – $84
Wyoming WY9not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $119.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,558$117$57 – $241
Children’s57$246$113 – $396
Critical access468$117$60 – $186
Ownership
For-profit241$137$61 – $374
Government320$108$50 – $192
Non-profit1,522$121$59 – $231
System affiliation
Part of a system1,754$121$57 – $243
Independent337$113$59 – $188

Cash price vs list price

Median list price (chargemaster)$200
Median cash price$119
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,575 hospitals filed a usable inpatient cash price for this code. The median is $121 and the average of the middle 60% is $131; most fall between $62 and $243.

Cash price percentiles, inpatient, across 1,575 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$44$71$121$211$335

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($44 vs $335).

Of the 1,677 hospitals that filed this code inpatient, 1,575 gave a usable cash price; 23 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 78 a list price only.

How complete is this

2,091 of the 3,956 hospitals with a price file in our corpus (53%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,260 hospitals that filed this code at all gave us
Usable cash price — counted2,091
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded129
Hospitals that filed this code2,260

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Anesthesia family.

Hospitals file this code under descriptions such as Mod Sed Other Phys/Qhp Each Addl 15 Mins.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Sedation by a second provider, each extra 15 minutes (CPT 99157) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-99157-sedation-by-a-second-provider-each-extra-15-minutes