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
Dgtz gls mcrscp sld level v
Lebanon, NH
See all hospitals reporting CPT 0754T →Price type
Mary Hitchcock Memorial Hospital’s median price of $145 is 114% above the median hospital's median price ($68), higher than 62% of the 543 hospitals reporting CPT 0754T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 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 shop - exchange - dhp professional · fee schedule · outpatient | $140.50 | $140.50 | $140.50 – $140.50 |
| 2 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $144.42 | $144.42 | $144.42 – $144.42 |
| 3 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $145.22 | $145.22 | $145.22 – $145.22 |
| 4 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $160.83 | $160.83 | $160.83 – $160.83 |
| 5 | Anthem anthem - indemnity/federal employee program professional · fee schedule · outpatient | $253.07 | $253.07 | $253.07 – $253.07 |
Last updated: Jan 1, 2026
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