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
Paring/cutg b9 hyprker les 1
Lebanon, NH
See all hospitals reporting CPT 11055 →Price type
Mary Hitchcock Memorial Hospital’s median price of $159 is 30% below the median hospital's median price ($226), higher than 23% of the 2,281 hospitals reporting CPT 11055. 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 professional · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 5 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $42 | $42 | $27 | 65% | — | $15 – $70 |
| 6 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $42 | $42 | $27 | 65% | — | $15 – $70 |
| 7 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $42 | $42 | $27 | 65% | — | $15 – $70 |
| 8 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $42 | $42 | $27 | 65% | — | $15 – $70 |
| 9 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $42 | $42 | $27 | 65% | — | $15 – $70 |
| 10 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $44 | $44 | $28 | 65% | — | $15 – $72 |
| 11 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $44 | $44 | $28 | 65% | — | $15 – $72 |
| 12 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $44 | $44 | $29 | 65% | — | $15 – $73 |
| 13 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $44 | $44 | $29 | 65% | — | $16 – $73 |
| 14 | Bcbs Vt bcbs of vermont - the vermont health plan facility · case rate · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 15 | Bcbs Vt bcbs of vermont - vermont health partnership facility · case rate · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 16 | Bcbs Vt bcbs of vermont non-managed care plans facility · case rate · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 17 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $94 | $80 | $42 | 52% | — | $15 – $116 |
| 18 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $89 | $89 | $49 | 55% | — | $40 – $138 |
| 19 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $92 | $92 | $51 | 55% | — | $41 – $143 |
| 20 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $99 | $99 | $59 | 60% | — | $40 – $158 |
| 21 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $99 | $99 | $55 | 55% | — | $44 – $154 |
| 22 | Anthem anthem ppo professional · fee schedule · outpatient | $99 | $99 | $55 | 55% | — | $44 – $154 |
| 23 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $99 | $99 | $64 | 65% | — | $35 – $164 |
| 24 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $100 | $100 | $65 | 65% | — | $35 – $165 |
| 25 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $103 | $103 | $66 | 65% | — | $36 – $169 |
Last updated: Jan 1, 2026
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