Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Alice Peck Day Memorial Hospital

10 ALICE PECK DAY DR, Lebanon, NH 03766

CMS Overall Rating ★★★★☆

How this hospital's prices compare 98 procedures scored

0.9×

the fair BaseRate, typically

below the fair price

Across 98 shoppable procedures, Alice Peck Day Memorial Hospital typically charges below the fair BaseRate — a relatively affordable hospital. 11 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Screening mammogram (both breasts) fair $186 → $438 2.4×
Diagnostic procedure preparation fair $82 → $186 2.3×
Varicella (chickenpox) vaccine fair $278 → $514 1.9×

How we calculate the BaseRate →

Alice Peck Day Memorial Hospital publishes prices for 110 shoppable procedures in Lebanon, NH. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS rates it 4/5 stars, and 91% of patients would recommend it.

Facility Overview

Setting: rural Bed Count: 24 Beds Teaching Status: Non-Teaching Annual Discharges: 720

Patient Experience

Recommendation Rate: 91% High Patient Rating: 87% ER Wait Time (Med): 120 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 110 codes Typical vs Fair BaseRate: 0.9× Price File In Index: Yes MRF Version: 3.0.0

Prices at Alice Peck Day Memorial Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Screening mammogram (both breasts) CPT Code: `77067`	$494	$438	$186	2.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$122	$186	$82	2.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$340	$514	$278	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$127	$123	$76	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$939	$642	$448	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,332	$958	$689	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$125	$169	$140	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$271	$346	$307	1.1×
X-ray, hip CPT Code: `73502`	$178	$157	$142	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$537	$333	$300	1.1×
Ultrasound, pelvis CPT Code: `76856`	$502	$306	$279	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$196	$249	$227	1.1×
X-ray, chest (two views) CPT Code: `71046`	$152	$183	$168	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,142	$505	$486	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,820	$933	$900	1.0×
X-ray, ankle CPT Code: `73610`	$243	$121	$117	1.0×
X-ray, hand CPT Code: `73130`	$270	$118	$116	1.0×
Rabies immune globulin HCPCS Code: `90375`	$484	$720	$711	1.0×
CT scan, sinuses CPT Code: `70486`	$1,142	$388	$383	1.0×
X-ray, chest (single view) CPT Code: `71045`	$148	$135	$134	1.0×
X-ray, foot CPT Code: `73630`	$218	$113	$112	1.0×
X-ray, lower back CPT Code: `72110`	$384	$159	$158	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$24	$12	$12	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,544	$598	$606	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$256	$117	$121	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$79	$40	$42	1.0×
X-ray, shoulder CPT Code: `73030`	$270	$109	$115	0.9×
Blood test, sodium CPT Code: `84295`	$21	$11	$12	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$124	$160	$173	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$990	$422	$457	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$60	$18	$20	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,445	$566	$617	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$9	$10	0.9×
X-ray, pelvis CPT Code: `72170`	$132	$79	$87	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,521	$545	$606	0.9×
Blood test, magnesium CPT Code: `83735`	$54	$16	$18	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$762	$362	$408	0.9×
CT scan, pelvis CPT Code: `72192`	$937	$366	$413	0.9×
Culture, bacterial CPT Code: `87070`	$75	$20	$23	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$14	$16	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$10	$12	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$950	$370	$429	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,142	$367	$426	0.9×
Blood test, hemoglobin CPT Code: `85018`	$18	$6	$7	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$14	$9	$11	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,142	$446	$530	0.8×
Culture, blood CPT Code: `87040`	$93	$24	$29	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$7	$9	0.8×
Blood antibody screen CPT Code: `86850`	$56	$24	$30	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$121	$25	$32	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$646	$293	$380	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$91	$20	$27	0.7×
Speech therapy (group session) CPT Code: `92508`	$20	$36	$64	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$284	$57	$119	0.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$149	$109	$245	0.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$101	$82	$217	0.4×
Physical therapy (manual therapy) CPT Code: `97140`	$48	$25	$70	0.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$50	$28	$79	0.4×
Occupational therapy (self-care training) CPT Code: `97535`	$35	$27	$79	0.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$45	$27	$81	0.3×
Physical therapy (gait training) CPT Code: `97116`	$45	$24	$72	0.3×
C-section delivery (full package) CPT Code: `59510`	$2,968	$1,224	$3,707	0.3×
Vaginal delivery (full package) CPT Code: `59400`	$2,622	$1,224	$3,758	0.3×
Hepatitis C antibody test CPT Code: `86803`	$74	$12	$40	0.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$44	$24	$82	0.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,141	$179	$681	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,345	$153	$668	0.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,086	$129	$597	0.2×
Orthotic fitting and training CPT Code: `97760`	$74	$18	$102	0.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$75	$17	$104	0.2×
Family therapy session CPT Code: `90847`	$100	—	$282	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$39	—	$24	—
Typhoid vaccine HCPCS Code: `90675`	$295	—	$665	—
Blood test, calcium CPT Code: `82310`	$24	—	$13	—
Blood test, potassium CPT Code: `84132`	$21	—	$14	—
Blood test, lipase CPT Code: `83690`	$74	—	$19	—
Prosthetic fitting and training CPT Code: `97761`	$75	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$41	—	$89	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$63	—	$90	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$69	—	$52	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$597	—	$308	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	$854	—	$1,039	unverified
Breast lump removal CPT Code: `19120`	$427	—	$734	—
Inguinal hernia repair CPT Code: `49505`	$666	—	$859	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$82	—	$110	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$39	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$121	—	$37	—
Total hip replacement CPT Code: `27130`	$2,169	—	$2,334	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$85	—	$38	—
Psychiatric evaluation (first visit) CPT Code: `90791`	$177	—	$171	—
Blood test, amylase CPT Code: `82150`	$50	—	$17	—
Blood test, vitamin D CPT Code: `82306`	$115	—	$68	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$4,300	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$35	—	$67	unverified
Blood test, vitamin B12 CPT Code: `82607`	$80	—	$41	—
Flu vaccine (high dose) HCPCS Code: `90656`	$24	—	$35	unverified
Flu vaccine injection HCPCS Code: `G0008`	$35	—	$60	—
Colorectal cancer screening HCPCS Code: `G0010`	$35	—	$71	unverified
Group therapy session CPT Code: `90853`	$27	—	$119	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$7,685	—	—	—
Blood transfusion CPT Code: `36430`	$863	—	$376	—
Bunion correction surgery CPT Code: `28296`	$883	—	$1,049	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$163	—	$119	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,496	—	$508	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	$46	—	—	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,190	—	$1,227	—
Total knee replacement CPT Code: `27447`	$2,152	—	$2,330	—
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$23,285	—	—	—
Sleep study (overnight, in lab) CPT Code: `95810`	$1,006	—	$723	—
Blood test, liver function panel CPT Code: `80076`	$95	—	$23	—