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
Radex Sho Compl Minimum 2 Views
Lebanon, NH
See all hospitals reporting CPT 73030 →Price type
Alice_peck_day_memorial_hospital’s median price of $360 is 181% above the median hospital's median price ($128), higher than 85% of the 2,584 hospitals reporting CPT 73030. 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 | $15.00 | $15.00 | $15.00 – $15.00 |
| 2 | Blue Cross Blue Shield anthem hmo/pos/ppo fee schedule · outpatient | $201.63 | $201.63 | $201.63 – $201.63 |
| 3 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $247.20 | $247.20 | $247.20 – $247.20 |
| 4 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $247.20 | $247.20 | $247.20 – $247.20 |
| 5 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $346.10 | $346.10 | $346.10 – $346.10 |
| 6 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $352.70 | $352.70 | $352.70 – $352.70 |
| 7 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $360.00 | $360.00 | $360.00 – $360.00 |
| 8 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $360.00 | $360.00 | $360.00 – $360.00 |
| 9 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $383.00 | $383.00 | $383.00 – $383.00 |
| 10 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $386.50 | $386.50 | $386.50 – $386.50 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $404.00 | $404.00 | $404.00 – $404.00 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $409.00 | $409.00 | $409.00 – $409.00 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $428.50 | $428.50 | $428.50 – $428.50 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $445.00 | $445.00 | $445.00 – $445.00 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $450.00 | $450.00 | $450.00 – $450.00 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $520.00 | $520.00 | $520.00 – $520.00 |
Last updated: Jan 1, 2026
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