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
Esw muscskel sys nos
Lebanon, NH
See all hospitals reporting CPT 0101T →Price type
Mary Hitchcock Memorial Hospital’s median price of $279 is 25% below the median hospital's median price ($372), higher than 35% of the 1,279 hospitals reporting CPT 0101T. 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, 33 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 ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $126.60 | $126.60 | $126.60 – $126.60 |
| 2 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $126.60 | $126.60 | $126.60 – $126.60 |
| 3 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $126.60 | $126.60 | $126.60 – $126.60 |
| 4 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $126.60 | $126.60 | $126.60 – $126.60 |
| 5 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $126.60 | $126.60 | $126.60 – $126.60 |
| 6 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $130.39 | $130.39 | $130.39 – $130.39 |
| 7 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $130.39 | $130.39 | $130.39 – $130.39 |
| 8 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $131.66 | $131.66 | $131.66 – $131.66 |
| 9 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $132.80 | $132.80 | $132.80 – $132.80 |
| 10 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $132.93 | $132.93 | $132.93 – $132.93 |
| 11 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $215.20 | $215.20 | $215.20 – $215.20 |
| 12 | Aetna aetna hmo/pos/ppo - arnb professional · fee schedule · outpatient | $215.20 | $215.20 | $215.20 – $215.20 |
| 13 | Anthem anthem - medicare advantage facility · fee schedule · outpatient | $268.44 | $268.44 | $268.44 – $268.44 |
| 14 | Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient | $268.44 | $268.44 | $268.44 – $268.44 |
| 15 | UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient | $268.44 | $268.44 | $268.44 – $268.44 |
| 16 | UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient | $268.44 | $268.44 | $268.44 – $268.44 |
| 17 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $276.50 | $276.50 | $276.50 – $276.50 |
| 18 | Cigna cigna medicare advantage facility · fee schedule · outpatient | $276.50 | $276.50 | $276.50 – $276.50 |
| 19 | WellCare wellcare - medicare advantage facility · fee schedule · outpatient | $279.18 | $279.18 | $279.18 – $279.18 |
| 20 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $351.74 | $351.74 | $351.74 – $351.74 |
| 21 | Ambetter ambetter commercial - exchange behavioral health facility · fee schedule · outpatient | $370.18 | $370.18 | $370.18 – $370.18 |
| 22 | Anthem anthem indiv qhp - exchange facility · fee schedule · outpatient | $412.35 | $412.35 | $412.35 – $412.35 |
| 23 | Ambetter ambetter commercial - exchange facility · fee schedule · outpatient | $577.53 | $577.53 | $577.53 – $577.53 |
| 24 | Anthem anthem shop - exchange facility · fee schedule · outpatient | $620.47 | $620.47 | $620.47 – $620.47 |
| 25 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $834.32 | $834.32 | $834.32 – $834.32 |
Last updated: Jan 1, 2026
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