Lebanon, NH
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jan 1, 2026 | Sep 19, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Mary Hitchcock Memorial Hospital’s price for it.
The codes Mary Hitchcock Memorial Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Newborn infant with other significant health problemsMS-DRG 794 | $10.7k | $11.4k | $7.4k | 65% | 937–946 | $1.7k | $31.9k |
| Routine care for a healthy newborn babyMS-DRG 795 | $1.5k | $2.0k | $755 | 38% | 858–867 | $1.4k | $4.3k |
| Psychiatric disorder inpatient stayMS-DRG 885 | $10.2k | $12.1k | $8.7k | 72% | 106 | $1.4k | $31.8k |
| Complete blood count with automated differentialCPT 85025 | $17 | $26 | $22 | 86% | 49–112 | $3 | $96 |
| Blood draw from a veinCPT 36415 | $22 | $20 | $13 | 63% | 43–106 | $1 | $43 |
| Comprehensive metabolic blood panelCPT 80053 | $11 | $37 | $40 | 107% | 38–101 | $4 | $153 |
| Gadoterate meglumine contrast, 15 mLHCPCS A9575 | $0 | $304 | $527 | 174% | 9–90 | $0 | $1.9k |
| Lipid panel blood testCPT 80061 | $29 | $50 | $45 | 88% | 6–60 | $6 | $171 |
| Hemoglobin A1c blood testCPT 83036 | $10 | $25 | $23 | 91% | 6–60 | $4 | $141 |
| Thyroid stimulating hormone blood testCPT 84443 | $27 | $38 | $30 | 78% | 6–60 | $6 | $218 |
EIN: 02-0222140
Last updated: Jan 1, 2026
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Hospital ID: 551ab2ab60d2a8b9e6028e26085db9c0d07e7520fc802199779bc61f569415fd