CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 76705 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$227
about 2.1× the $107 Medicare rate · typically $74–$553
modeled estimate · not a bill or quote
What this hospital charges insurers
$249
About the fair price
about $22 over the fair price · 2.3× Medicare
Medicare pays $107 Fair price $227 This hospital $249 Cash price $196 Hospital's list price $363

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 6 of 8 other NH hospitals charge less.

Cheapest $59 Priciest $339

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (limited) is about $227 (about 2.1× the $107 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $249, or about $196 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 $44 - $479 41%
Blue Cross Blue Shieldmajor $30 - $592 28%
Aetnamajor $55 - $632 51%
Cignamajor $47 - $544 44%
Humanamajor $63 - $692 59%
Ambetter (Centene) $20 19%
Harvard Pilgrim $38 - $577 36%
MVP Health Care $56 - $605 52%
Tufts Health Plan $45 - $488 42%
+ 4 smaller / regional plans $20 - $514
Government programs also on file: Medicaid.

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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