CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 70450 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$380
about 3.6× the $107 Medicare rate · typically $109–$937
modeled estimate · not a bill or quote
What this hospital charges insurers
$293
Below the fair price — a good deal
about $87 under the fair price · 2.7× Medicare
Medicare pays $107 Fair price $380 This hospital $293 Cash price $646 Hospital's list price $1,199

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 $69 Priciest $363

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, head (no contrast) is about $380 (about 3.6× the $107 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $293, or about $646 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 $863 808%
Blue Cross Blue Shieldmajor $552 - $1,067 517%
Aetnamajor $1,079 - $1,139 1010%
Cignamajor $784 - $981 734%
Humanamajor $1,247 1167%
Ambetter (Centene) $32 30%
Harvard Pilgrim $746 - $1,040 698%
MVP Health Care $1,091 1021%
Tufts Health Plan $879 823%
+ 4 smaller / regional plans $33 - $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