CMS Price Transparency Data

X-ray, foot

Facility: Alice Peck Day Memorial Hospital

Billing Code: 73630 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$112
about 1.3× the $89 Medicare rate · typically $25–$269
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
About the fair price
about $1 over the fair price · 1.3× Medicare
Medicare pays $89 Fair price $112 This hospital $113 Cash price $218 Hospital's list price $405

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NH hospitals compared.

Cheapest $25 Priciest $166

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

A fair price for a X-ray, foot is about $112 (about 1.3× the $89 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $113, or about $218 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 $292 328%
Blue Cross Blue Shieldmajor $200 - $360 225%
Aetnamajor $364 - $385 409%
Cignamajor $310 - $331 349%
Humanamajor $421 474%
Ambetter (Centene) $15 17%
Harvard Pilgrim $252 - $351 283%
MVP Health Care $369 415%
Tufts Health Plan $297 334%
+ 4 smaller / regional plans $16 - $313
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