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
TCAT INSERTION PERM DUAL CHAMBER LDLS PM COMPLETE SYS
Lebanon, NH
See all hospitals reporting CPT 0795T →Price type
Mary Hitchcock Memorial Hospital’s median price of $12.1k is 39% below the median hospital's median price ($19.9k), higher than 12% of the 1,503 hospitals reporting CPT 0795T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 62 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 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $978.91 | $978.91 | $978.91 – $978.91 |
| 2 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $1,500 | $1,500 | $1,364 – $1,637 |
| 3 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $1,542 | $1,542 | $1,402 – $1,682 |
| 4 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $1,551 | $1,551 | $1,410 – $1,692 |
| 5 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $1,717 | $1,717 | $1,561 – $1,874 |
| 6 | Anthem anthem - indemnity/federal employee program professional · fee schedule · outpatient | $2,702 | $2,702 | $2,457 – $2,948 |
| 7 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3,916 | $3,916 | $3,916 – $3,916 |
| 8 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · outpatientfrom % of charges | $4,242 | $4,242 | $4,242 – $4,242 |
| 9 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · inpatientfrom % of charges | $4,389 | $4,389 | $4,389 – $4,389 |
| 10 | Bcbs Vt bcbs of vermont - the vermont health plan professional · percent of total billed charges · outpatientfrom % of charges | $4,735 | $4,735 | $4,735 – $4,735 |
| 11 | Bcbs Vt bcbs of vermont - vermont health partnership professional · percent of total billed charges · outpatientfrom % of charges | $4,735 | $4,735 | $4,735 – $4,735 |
| 12 | Cigna cigna hmo-pos professional · percent of total billed charges · outpatientfrom % of charges | $5,227 | $5,227 | $5,227 – $5,227 |
| 13 | Aetna aetna hmo/pos/ppo - arnb professional · percent of total billed charges · inpatientfrom % of charges | $5,305 | $5,305 | $5,305 – $5,305 |
| 14 | Aetna aetna hmo/pos/ppo - arnb professional · percent of total billed charges · outpatientfrom % of charges | $5,305 | $5,305 | $5,305 – $5,305 |
| 15 | Bcbs Vt bcbs of vermont non-managed care plans professional · percent of total billed charges · outpatientfrom % of charges | $5,772 | $5,772 | $5,772 – $5,772 |
| 16 | Cigna cigna ppo professional · percent of total billed charges · outpatientfrom % of charges | $5,927 | $5,927 | $5,927 – $5,927 |
| 17 | Aetna aetna hmo/pos/ppo professional · percent of total billed charges · inpatientfrom % of charges | $6,065 | $6,065 | $6,065 – $6,065 |
| 18 | Aetna aetna hmo/pos/ppo professional · percent of total billed charges · outpatientfrom % of charges | $6,065 | $6,065 | $6,065 – $6,065 |
| 19 | UnitedHealthcare uhc - hmo/pos/ppo professional · percent of total billed charges · inpatientfrom % of charges | $6,376 | $6,376 | $6,376 – $6,376 |
| 20 | UnitedHealthcare uhc - hmo/pos/ppo professional · percent of total billed charges · outpatientfrom % of charges | $6,636 | $6,636 | $6,636 – $6,636 |
| 21 | Anthem anthem - federal employee program professional · percent of total billed charges · inpatientfrom % of charges | $7,090 | $7,090 | $7,090 – $7,090 |
| 22 | Anthem anthem - indemnity professional · percent of total billed charges · inpatientfrom % of charges | $7,090 | $7,090 | $7,090 – $7,090 |
| 23 | First Health first health/hcvm professional · percent of total billed charges · inpatientfrom % of charges | $7,517 | $7,517 | $7,517 – $7,517 |
| 24 | First Health first health/hcvm professional · percent of total billed charges · outpatientfrom % of charges | $7,517 | $7,517 | $7,517 – $7,517 |
| 25 | Anthem anthem - federal employee program professional · percent of total billed charges · outpatientfrom % of charges | $7,529 | $7,529 | $7,529 – $7,529 |
Last updated: Jan 1, 2026
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