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
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Lebanon, NH
See all hospitals reporting CPT 10120 →Price type
Mary Hitchcock Memorial Hospital’s median price of $418 is 12% below the median hospital's median price ($472), higher than 39% of the 2,522 hospitals reporting CPT 10120. 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, 103 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 facility · percent of total billed charges · outpatientfrom % of charges | $96.98 | $96.98 | $96.98 – $96.98 |
| 2 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $101.00 | $101.54 | $84.02 – $120.14 |
| 3 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $101.00 | $101.54 | $84.02 – $120.14 |
| 4 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $101.00 | $101.54 | $84.02 – $120.14 |
| 5 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $101.00 | $101.54 | $84.02 – $120.14 |
| 6 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $104.03 | $104.59 | $86.54 – $123.74 |
| 7 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $104.03 | $104.59 | $86.54 – $123.74 |
| 8 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $105.04 | $105.60 | $87.38 – $124.94 |
| 9 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $106.05 | $106.62 | $88.22 – $126.14 |
| 10 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $111.03 | $111.03 | $111.03 – $111.03 |
| 11 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $127.61 | $127.61 | $105.03 – $150.18 |
| 12 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $105.95 | $158.27 | $86.54 – $316.02 |
| 13 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $188.24 | $218.11 | $101.00 – $394.97 |
| 14 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $240.02 | $240.02 | $240.02 – $240.02 |
| 15 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $242.14 | $242.14 | $199.30 – $284.98 |
| 16 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $254.64 | $254.64 | $254.64 – $254.64 |
| 17 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $297.44 | $297.44 | $243.92 – $350.96 |
| 18 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $307.43 | $307.43 | $252.11 – $362.75 |
| 19 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $316.91 | $316.91 | $257.71 – $376.10 |
| 20 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $319.80 | $319.80 | $258.41 – $381.18 |
| 21 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $328.10 | $328.10 | $266.81 – $389.39 |
| 22 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $340.48 | $340.48 | $279.21 – $401.74 |
| 23 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $352.12 | $352.12 | $286.34 – $417.90 |
| 24 | Anthem anthem ppo professional · fee schedule · outpatient | $352.12 | $352.12 | $286.34 – $417.90 |
| 25 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $360.93 | $360.93 | $291.51 – $430.35 |
Last updated: Jan 1, 2026
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