CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$140
about 1.2× the $118 Medicare rate · typically $68–$340
modeled estimate · not a bill or quote
What this hospital charges insurers
$169
Above the fair price
about $29 over the fair price · 1.4× Medicare
Medicare pays $118 Fair price $140 This hospital $169 Cash price $125 Hospital's list price $232

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 3 of 4 other NH hospitals charge less.

Cheapest $91 Priciest $240

Black dot = this hospital, among the 5 NH hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $140 (about 1.2× the $118 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $169, or about $125 in cash — above the fair price. Located in Lebanon, NH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $140. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $96 - $223 82%
Blue Cross Blue Shieldmajor $66 - $276 56%
Aetnamajor $120 - $294 102%
Cignamajor $102 - $254 87%
Humanamajor $138 - $322 117%
Ambetter (Centene) $100 - $177 85%
AmeriHealth $136 116%
Harvard Pilgrim $83 - $269 71%
MVP Health Care $121 - $282 103%
Tufts Health Plan $98 - $227 83%
+ 4 smaller / regional plans $102 - $240
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