Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Cptr-Asst Muscuoskel Navigation Ortho Fluor Images
Lebanon, NH
See all hospitals reporting CPT 0054T →Price type
Alice_peck_day_memorial_hospital’s median price of $455 is 70% below the median hospital's median price ($1.5k), higher than 31% of the 1,025 hospitals reporting CPT 0054T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $291.20 | $291.20 | $291.20 – $291.20 |
| 2 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $291.20 | $291.20 | $291.20 – $291.20 |
| 3 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $407.71 | $407.71 | $407.71 – $407.71 |
| 4 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $415.48 | $415.48 | $415.48 – $415.48 |
| 5 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $424.08 | $424.08 | $424.08 – $424.08 |
| 6 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $424.08 | $424.08 | $424.08 – $424.08 |
| 7 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $451.17 | $451.17 | $451.17 – $451.17 |
| 8 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $455.30 | $455.30 | $455.30 – $455.30 |
| 9 | Blue Cross Blue Shield anthem hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $462.95 | $462.95 | $462.95 – $462.95 |
| 10 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $475.91 | $475.91 | $475.91 – $475.91 |
| 11 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $481.80 | $481.80 | $481.80 – $481.80 |
| 12 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $504.77 | $504.77 | $504.77 – $504.77 |
| 13 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $524.21 | $524.21 | $524.21 – $524.21 |
| 14 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $530.10 | $530.10 | $530.10 – $530.10 |
| 15 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $612.56 | $612.56 | $612.56 – $612.56 |
Last updated: Jan 1, 2026
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