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
Trnsplj don-drv cll-fr dna
Lebanon, NH
See all hospitals reporting CPT 0118U →Price type
Mary Hitchcock Memorial Hospital’s median price of $2.8k is 4% below the median hospital's median price ($2.9k), higher than 9% of the 1,293 hospitals reporting CPT 0118U. 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, 41 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 | Anthem anthem - federal employee program professional · fee schedule · outpatient | $208.00 | $208.00 | $208.00 – $208.00 |
| 2 | Anthem anthem - indemnity professional · fee schedule · outpatient | $208.00 | $208.00 | $208.00 – $208.00 |
| 3 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $208.00 | $208.00 | $208.00 – $208.00 |
| 4 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $208.00 | $208.00 | $208.00 – $208.00 |
| 5 | Anthem anthem ppo professional · fee schedule · outpatient | $208.00 | $208.00 | $208.00 – $208.00 |
| 6 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $208.00 | $208.00 | $208.00 – $208.00 |
| 7 | UnitedHealthcare uhc - hmo/pos/ppo - dhp professional · fee schedule · outpatient | $1,156 | $1,156 | $1,156 – $1,156 |
| 8 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $1,487 | $1,487 | $1,487 – $1,487 |
| 9 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $1,652 | $1,652 | $1,652 – $1,652 |
| 10 | Anthem anthem - indemnity/federal employee program professional · fee schedule · outpatient | $1,790 | $1,790 | $1,790 – $1,790 |
| 11 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $1,790 | $1,790 | $1,790 – $1,790 |
| 12 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $1,790 | $1,790 | $1,790 – $1,790 |
| 13 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $1,790 | $1,790 | $1,790 – $1,790 |
| 14 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $1,790 | $1,790 | $1,790 – $1,790 |
| 15 | Anthem anthem - medicare advantage facility · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 16 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 17 | Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 18 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 19 | UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 20 | UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 21 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 22 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 23 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $2,753 | $2,753 | $2,753 – $2,753 |
| 24 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $2,836 | $2,836 | $2,836 – $2,836 |
| 25 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $2,836 | $2,836 | $2,836 – $2,836 |
Last updated: Jan 1, 2026
See Donor-derived DNA blood test for transplant patients pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.