CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$173
about 1.3× the $136 Medicare rate · typically $66–$414
modeled estimate · not a bill or quote
What this hospital charges insurers
$160
About the fair price
about $13 under the fair price · 1.2× Medicare
Medicare pays $136 Fair price $173 This hospital $160 Cash price $124 Hospital's list price $230

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 6 of 7 other NH hospitals charge less.

Cheapest $106 Priciest $254

Black dot = this hospital, among the 8 NH hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $173 (about 1.3× the $136 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $160, or about $124 in cash — about the fair price. 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 $97 - $242 72%
Blue Cross Blue Shieldmajor $67 - $299 49%
Aetnamajor $122 - $319 90%
Cignamajor $103 - $275 76%
Humanamajor $140 - $349 103%
Ambetter (Centene) $99 73%
Harvard Pilgrim $84 - $291 62%
MVP Health Care $123 - $306 91%
Tufts Health Plan $99 - $246 73%
+ 4 smaller / regional plans $103 - $260
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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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