CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 93005 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$119
about 2.0× the $60 Medicare rate · typically $8–$233
modeled estimate · not a bill or quote
Medicare pays $60 Fair price $119 Cash price $163 Hospital's list price $302

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 $217 360%
Blue Cross Blue Shieldmajor $149 - $269 247%
Aetnamajor $272 - $287 451%
Cignamajor $231 - $247 383%
Humanamajor $314 521%
Ambetter (Centene) $9 15%
Harvard Pilgrim $188 - $262 312%
MVP Health Care $275 456%
Tufts Health Plan $221 367%
+ 4 smaller / regional plans $9 - $233
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

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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