Office visit, established patient (30-39 min)
Facility: Alice Peck Day Memorial Hospital
Billing Code: 99214 (CPT)
This hospital's typical commercial price is $160 compared to the $187 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.86× fair market pricing.
On the higher side — 7 of 8 other NH hospitals charge less.
Black dot = this hospital, among the 9 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 $187 (about 1.4× the $136 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $160, or about $124 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
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 |
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.
Other Procedures at Alice Peck Day Memorial Hospital
Compare: Office visit, established patient (30-39 min) at other NH hospitals
- Androscoggin Valley Hospital · Berlin $106
- Weeks Medical Center · Lancaster $112
- St Joseph Hospital · Nashua $114
- New London Hospital · New London $122
- Wentworth-Douglass Hospital · Dover $132
- Cheshire Medical Center · Keene $133
- Northeast Rehabilitation Hospital Network · Salem $150
- Mary Hitchcock Memorial Hospital · Lebanon $254
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Alice Peck Day Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $83
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $83).
Self-Pay Cash Rate ($124) Beats Your Bill
Alice Peck Day Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $124 (vs. $160 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $187 Fair BaseRate ($136 Medicare)
Your bill ($230) is $43 above the denoised Fair BaseRate ($187) and 1.7× the $136 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.