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
US Soft Tissue Head & Neck Real Time Image Documentation, Technical
Lebanon, NH
See all hospitals reporting CPT 76536 →Price type
Alice_peck_day_memorial_hospital’s median price of $59 is 72% below the median hospital's median price ($214), higher than 1% of the 2,621 hospitals reporting CPT 76536. 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, 17 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 | $12.50 | $12.50 | $12.50 – $12.50 |
| 2 | Blue Cross Blue Shield anthem hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $59.00 | $59.00 | $59.00 – $59.00 |
| 3 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $248.69 | $248.69 | $29.17 – $468.20 |
| 4 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $248.69 | $248.69 | $29.17 – $468.20 |
| 5 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $348.18 | $348.18 | $40.84 – $655.51 |
| 6 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $354.82 | $354.82 | $41.62 – $668.01 |
| 7 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $362.16 | $362.16 | $42.48 – $681.84 |
| 8 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $362.16 | $362.16 | $42.48 – $681.84 |
| 9 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $385.30 | $385.30 | $45.19 – $725.40 |
| 10 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $388.82 | $388.82 | $45.61 – $732.03 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $406.43 | $406.43 | $47.67 – $765.18 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $411.46 | $411.46 | $48.26 – $774.65 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $431.07 | $431.07 | $50.56 – $811.58 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $447.67 | $447.67 | $52.51 – $842.83 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $452.70 | $452.70 | $53.10 – $852.30 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $523.12 | $523.12 | $61.36 – $984.88 |
| 17 | Blue Cross Blue Shield anthem hmo/pos/ppo fee schedule · outpatient | $679.88 | $679.88 | $679.88 – $679.88 |
Last updated: Jan 1, 2026
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