CMS Price Transparency Data

Family therapy session

Facility: Alice Peck Day Memorial Hospital

Billing Code: 90847 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$282
about 1.6× the $181 Medicare rate · typically $58–$498
modeled estimate · not a bill or quote
Medicare pays $181 Fair price $282 Cash price $100 Hospital's list price $185

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 $107 - $160 59%
Blue Cross Blue Shieldmajor $73 - $198 40%
Aetnamajor $133 - $211 73%
Cignamajor $113 - $182 62%
Humanamajor $154 - $231 85%
Ambetter (Centene) $35 19%
Harvard Pilgrim $92 - $192 51%
MVP Health Care $135 - $202 74%
Tufts Health Plan $109 - $163 60%
+ 4 smaller / regional plans $36 - $172
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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