CMS Price Transparency Data

X-ray, hand

Facility: Alice Peck Day Memorial Hospital

Billing Code: 73130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$116
about 1.3× the $89 Medicare rate · typically $28–$263
modeled estimate · not a bill or quote
What this hospital charges insurers
$118
About the fair price
about $2 over the fair price · 1.3× Medicare
Medicare pays $89 Fair price $116 This hospital $118 Cash price $270 Hospital's list price $500

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NH hospitals compared.

Cheapest $27 Priciest $181

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, hand is about $116 (about 1.3× the $89 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $118, or about $270 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 $360 405%
Blue Cross Blue Shieldmajor $223 - $445 251%
Aetnamajor $450 - $475 506%
Cignamajor $383 - $409 431%
Humanamajor $520 585%
Ambetter (Centene) $12 13%
Harvard Pilgrim $311 - $434 350%
MVP Health Care $455 512%
Tufts Health Plan $367 413%
+ 4 smaller / regional plans $12 - $386
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