CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 84153 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$52
about 2.9× the $18 Medicare rate · typically $19–$99
modeled estimate · not a bill or quote
Medicare pays $18 Fair price $52 Cash price $69 Hospital's list price $128

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $40 - $121 218%
Blue Cross Blue Shieldmajor $28 - $150 152%
Aetnamajor $50 - $160 272%
Cignamajor $43 - $137 234%
Humanamajor $58 - $175 315%
Ambetter (Centene) $12 65%
AmeriHealth $13 71%
Harvard Pilgrim $35 - $146 190%
MVP Health Care $51 - $153 277%
Tufts Health Plan $41 - $123 223%
+ 4 smaller / regional plans $13 - $130
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 10 Alice Peck Day Drive, Lebanon, NH 03766
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals