CMS Price Transparency Data

Breast lump removal

Facility: Alice Peck Day Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$734
about 0.2× the $4,000 Medicare rate · typically $174–$3,671
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $734 Cash price $427 Hospital's list price $792

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 $570 14%
Blue Cross Blue Shieldmajor $392 - $705 10%
Aetnamajor $713 - $752 18%
Cignamajor $607 - $648 15%
Humanamajor $824 21%
Ambetter (Centene) $100 2%
Harvard Pilgrim $493 - $687 12%
MVP Health Care $721 18%
Tufts Health Plan $581 15%
+ 4 smaller / regional plans $104 - $612
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