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 Wrst 2 Views
Lebanon, NH
See all hospitals reporting CPT 73100 →Price type
Alice_peck_day_memorial_hospital’s median price of $308 is 155% above the median hospital's median price ($121), higher than 86% of the 2,525 hospitals reporting CPT 73100. 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 | $10.00 | $10.00 | $10.00 – $10.00 |
| 2 | Blue Cross Blue Shield anthem hmo/pos/ppo fee schedule · outpatient | $204.29 | $204.29 | $204.29 – $204.29 |
| 3 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $211.60 | $211.60 | $211.60 – $211.60 |
| 4 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $211.60 | $211.60 | $211.60 – $211.60 |
| 5 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $296.26 | $296.26 | $296.26 – $296.26 |
| 6 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $301.91 | $301.91 | $301.91 – $301.91 |
| 7 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $308.16 | $308.16 | $308.16 – $308.16 |
| 8 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $308.16 | $308.16 | $308.16 – $308.16 |
| 9 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $327.85 | $327.85 | $327.85 – $327.85 |
| 10 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $330.84 | $330.84 | $330.84 – $330.84 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $345.82 | $345.82 | $345.82 – $345.82 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $350.10 | $350.10 | $350.10 – $350.10 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $366.80 | $366.80 | $366.80 – $366.80 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $380.92 | $380.92 | $380.92 – $380.92 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $385.20 | $385.20 | $385.20 – $385.20 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $445.12 | $445.12 | $445.12 – $445.12 |
Last updated: Jan 1, 2026
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