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
Office/Outpt Visit, Est Pt, Professional
Lebanon, NH
See all hospitals reporting CPT 99215 →Price type
Alice_peck_day_memorial_hospital’s median price of $178 is 15% below the median hospital's median price ($210), higher than 40% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | $133.62 | $133.62 | $133.62 – $133.62 |
| 2 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $155.25 | $155.25 | $88.50 – $221.99 |
| 3 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $155.25 | $155.25 | $88.50 – $221.99 |
| 4 | UnitedHealthcare uhc mcr case rate · outpatient | $160.00 | $160.00 | $160.00 – $160.00 |
| 5 | Amerihealth Caritas amerihealth-caritas nh managed medicaid fee schedule · outpatient | $161.71 | $161.71 | $161.71 – $161.71 |
| 6 | Blue Cross Blue Shield anthem hmo/pos/ppo case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 7 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $217.35 | $217.35 | $123.90 – $310.80 |
| 8 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $221.50 | $221.50 | $126.27 – $316.72 |
| 9 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $226.08 | $226.08 | $128.88 – $323.28 |
| 10 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $240.52 | $240.52 | $137.11 – $343.93 |
| 11 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $242.73 | $242.73 | $138.37 – $347.08 |
| 12 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $253.71 | $253.71 | $144.63 – $362.79 |
| 13 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $256.85 | $256.85 | $146.42 – $367.28 |
| 14 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $269.10 | $269.10 | $153.40 – $384.79 |
| 15 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $279.46 | $279.46 | $159.31 – $399.61 |
| 16 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $282.60 | $282.60 | $161.10 – $404.10 |
| 17 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $326.56 | $326.56 | $186.16 – $466.96 |
Last updated: Jan 1, 2026
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