CMS Price Transparency Data

Blood test, sodium

Facility: Alice Peck Day Memorial Hospital

Billing Code: 84295 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 2.4× the $5 Medicare rate · typically $9–$27
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
About the fair price
about $1 under the fair price · 2.2× Medicare
Medicare pays $5 Fair price $12 This hospital $11 Cash price $21 Hospital's list price $39

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Highest price of the 8 NH hospitals we have prices for — worth calling around.

Cheapest $5 Priciest $11

Black dot = this hospital, among the 8 NH hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, sodium is about $12 (about 2.4× the $5 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $11, or about $21 in cash — about the fair price. 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.

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 $28 582%
Blue Cross Blue Shieldmajor $18 - $35 374%
Aetnamajor $35 - $37 728%
Cignamajor $30 - $32 624%
Humanamajor $41 852%
Ambetter (Centene) $4 83%
AmeriHealth $4 83%
Harvard Pilgrim $24 - $34 499%
MVP Health Care $35 728%
Tufts Health Plan $29 603%
+ 4 smaller / regional plans $4 - $30
Government programs also on file: Medicaid.

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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