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
CT Maxlfcl Area C+ Matrl
Lebanon, NH
See all hospitals reporting CPT 70487 →Price type
Alice_peck_day_memorial_hospital’s median price of $1.4k is 227% above the median hospital's median price ($427), higher than 82% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 | Ambetter nh healthy families ambetter fee schedule · outpatient | $45.00 | $45.00 | $45.00 – $45.00 |
| 2 | Cigna cigna ppo per diem · outpatient | $784.00 | $784.00 | $784.00 – $784.00 |
| 3 | Cigna cigna hmo/pos per diem · outpatient | $832.00 | $832.00 | $832.00 – $832.00 |
| 4 | Blue Cross Blue Shield anthem hmo/pos/ppo fee schedule · outpatient | $833.94 | $833.94 | $833.94 – $833.94 |
| 5 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $1,047 | $1,047 | $1,047 – $1,047 |
| 6 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $1,047 | $1,047 | $1,047 – $1,047 |
| 7 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $1,466 | $1,466 | $1,466 – $1,466 |
| 8 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $1,494 | $1,494 | $1,494 – $1,494 |
| 9 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $1,525 | $1,525 | $1,525 – $1,525 |
| 10 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $1,525 | $1,525 | $1,525 – $1,525 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $1,711 | $1,711 | $1,711 – $1,711 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $1,733 | $1,733 | $1,733 – $1,733 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $1,815 | $1,815 | $1,815 – $1,815 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $1,885 | $1,885 | $1,885 – $1,885 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $1,906 | $1,906 | $1,906 – $1,906 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $2,203 | $2,203 | $2,203 – $2,203 |
Last updated: Jan 1, 2026
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