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
Exc tr-ext b9+marg 0.6-1 cm
Lebanon, NH
See all hospitals reporting CPT 11401 →Price type
Mary Hitchcock Memorial Hospital’s median price of $426 is 16% below the median hospital's median price ($507), higher than 38% of the 2,297 hospitals reporting CPT 11401. 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 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $102.59 | $103.16 | $84.20 – $123.26 |
| 2 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $102.59 | $103.16 | $84.20 – $123.26 |
| 3 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $102.59 | $103.16 | $84.20 – $123.26 |
| 4 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $102.59 | $103.16 | $84.20 – $123.26 |
| 5 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $105.66 | $106.25 | $86.72 – $126.96 |
| 6 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $105.66 | $106.25 | $86.72 – $126.96 |
| 7 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $106.69 | $107.29 | $87.57 – $128.19 |
| 8 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $107.71 | $108.31 | $88.41 – $129.42 |
| 9 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $116.70 | $116.70 | $116.70 – $116.70 |
| 10 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $129.67 | $129.67 | $105.25 – $154.08 |
| 11 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $107.61 | $156.79 | $86.73 – $305.08 |
| 12 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $210.06 | $210.06 | $210.06 – $210.06 |
| 13 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $189.32 | $221.61 | $102.59 – $405.22 |
| 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 | $246.05 | $246.05 | $199.72 – $292.38 |
| 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 | $302.04 | $302.04 | $243.92 – $360.15 |
| 18 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $312.18 | $312.18 | $252.11 – $372.25 |
| 19 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $317.34 | $317.34 | $260.32 – $374.36 |
| 20 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $322.17 | $322.17 | $259.88 – $384.45 |
| 21 | Cigna cigna ppo - dhp professional · fee schedule · outpatient | $327.80 | $327.80 | $260.40 – $395.19 |
| 22 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $328.55 | $328.55 | $269.51 – $387.58 |
| 23 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $345.74 | $345.74 | $279.21 – $412.26 |
| 24 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $352.60 | $352.60 | $289.24 – $415.96 |
| 25 | Anthem anthem ppo professional · fee schedule · outpatient | $352.60 | $352.60 | $289.24 – $415.96 |
Last updated: Jan 1, 2026
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