CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 90700 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$36
modeled fair price · typically $27–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $6 under the fair price
Fair price $36 This hospital $30

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Lowest price of the 9 NH hospitals we have prices for — a strong deal.

Cheapest $30 Priciest $71

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

A fair price for a DTaP vaccine (diphtheria, tetanus, pertussis) is about $36. Mary Hitchcock Memorial Hospital charges insurers about $30 — below the fair price — a good deal. Located in Lebanon, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $24 - $42 —
Blue Cross Blue Shieldmajor $28 - $110 —
Aetnamajor $28 - $43 —
Cignamajor $29 - $64 —
Harvard Pilgrim $19 - $75 —
Tufts Health Plan $25 - $30 —
WellSense $28 —
+ 2 smaller / regional plans $31 - $73

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals