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 sl spc hchem
Lebanon, NH
See all hospitals reporting CPT 0758T →Price type
Mary Hitchcock Memorial Hospital’s median price of $45 is 21% below the median hospital's median price ($57), higher than 46% of the 508 hospitals reporting CPT 0758T. 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 | $43.82 | $43.82 | $43.82 – $43.82 |
| 2 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $45.04 | $45.04 | $45.04 – $45.04 |
| 3 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $45.29 | $45.29 | $45.29 – $45.29 |
| 4 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $50.16 | $50.16 | $50.16 – $50.16 |
| 5 | Anthem anthem - indemnity/federal employee program professional · fee schedule · outpatient | $78.92 | $78.92 | $78.92 – $78.92 |
Last updated: Jan 1, 2026
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