CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$530
about 2.2× the $244 Medicare rate · typically $195–$1,743
modeled estimate · not a bill or quote
What this hospital charges insurers
$446
Below the fair price — a good deal
about $84 under the fair price · 1.8× Medicare
Medicare pays $244 Fair price $530 This hospital $446 Cash price $1,142 Hospital's list price $2,118

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 6 of 8 other NH hospitals charge less.

Cheapest $110 Priciest $652

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

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $530 (about 2.2× the $244 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $446, or about $1,142 in cash — 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.

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 $1,525 626%
Blue Cross Blue Shieldmajor $853 - $1,885 350%
Aetnamajor $1,906 - $2,012 782%
Cignamajor $784 - $1,733 322%
Humanamajor $2,203 904%
Ambetter (Centene) $38 16%
Harvard Pilgrim $1,317 - $1,836 540%
MVP Health Care $1,927 790%
Tufts Health Plan $1,553 637%
+ 4 smaller / regional plans $40 - $832
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