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
Nfct ds dna untrgt ngnrj seq
Lebanon, NH
See all hospitals reporting CPT 0152U →Price type
Mary Hitchcock Memorial Hospital’s median price of $2.1k is 4% below the median hospital's median price ($2.2k), higher than 14% of the 1,596 hospitals reporting CPT 0152U. 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 | $13.30 | $13.30 | $13.30 – $13.30 |
| 2 | Anthem anthem - indemnity professional · fee schedule · outpatient | $13.30 | $13.30 | $13.30 – $13.30 |
| 3 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $13.30 | $13.30 | $13.30 – $13.30 |
| 4 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $13.30 | $13.30 | $13.30 – $13.30 |
| 5 | Anthem anthem ppo professional · fee schedule · outpatient | $13.30 | $13.30 | $13.30 – $13.30 |
| 6 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $13.30 | $13.30 | $13.30 – $13.30 |
| 7 | UnitedHealthcare uhc - hmo/pos/ppo - dhp professional · fee schedule · outpatient | $893.00 | $893.00 | $893.00 – $893.00 |
| 8 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $1,148 | $1,148 | $1,148 – $1,148 |
| 9 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $1,276 | $1,276 | $1,276 – $1,276 |
| 10 | Anthem anthem - indemnity/federal employee program professional · fee schedule · outpatient | $1,382 | $1,382 | $1,382 – $1,382 |
| 11 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $1,382 | $1,382 | $1,382 – $1,382 |
| 12 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $1,382 | $1,382 | $1,382 – $1,382 |
| 13 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $1,382 | $1,382 | $1,382 – $1,382 |
| 14 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $1,382 | $1,382 | $1,382 – $1,382 |
| 15 | Anthem anthem - medicare advantage facility · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 16 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 17 | Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 18 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 19 | UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 20 | UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 21 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 22 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 23 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $2,126 | $2,126 | $2,126 – $2,126 |
| 24 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $2,190 | $2,190 | $2,190 – $2,190 |
| 25 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $2,190 | $2,190 | $2,190 – $2,190 |
Last updated: Jan 1, 2026
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