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
Tte f-up or lmtd
Lebanon, NH
See all hospitals reporting CPT 93308 →Price type
Mary Hitchcock Memorial Hospital’s median price of $221 is 37% below the median hospital's median price ($349), higher than 16% of the 2,519 hospitals reporting CPT 93308. 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, 101 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 - dhp professional · fee schedule · outpatient | $38.73 | $38.73 | $35.74 – $41.72 |
| 2 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $48.45 | $48.45 | $23.74 – $73.16 |
| 3 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $48.45 | $48.45 | $23.74 – $73.16 |
| 4 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $48.45 | $48.45 | $23.74 – $73.16 |
| 5 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $48.45 | $48.45 | $23.74 – $73.16 |
| 6 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $49.90 | $49.90 | $24.45 – $75.35 |
| 7 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $49.90 | $49.90 | $24.45 – $75.35 |
| 8 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $50.38 | $50.38 | $24.68 – $76.08 |
| 9 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $50.87 | $50.87 | $24.92 – $76.81 |
| 10 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $53.15 | $53.15 | $53.15 – $53.15 |
| 11 | Aetna aetna - hmo/pos/ppo professional · fee schedule · outpatient | $56.35 | $56.35 | $21.03 – $91.66 |
| 12 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $71.95 | $71.95 | $71.95 – $71.95 |
| 13 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $96.90 | $96.90 | $96.90 – $96.90 |
| 14 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $114.92 | $114.92 | $56.31 – $173.53 |
| 15 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $123.04 | $123.04 | $62.92 – $183.16 |
| 16 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $129.62 | $129.62 | $62.94 – $196.30 |
| 17 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $159.28 | $159.28 | $78.04 – $240.51 |
| 18 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $161.02 | $161.02 | $100.64 – $221.40 |
| 19 | Bcbs Vt bcbs of vermont - vermont health partnership professional · fee schedule · outpatient | $161.02 | $161.02 | $100.64 – $221.40 |
| 20 | Bcbs Vt bcbs of vermont - the vermont health plan - dhp professional · fee schedule · outpatient | $169.07 | $169.07 | $105.67 – $232.47 |
| 21 | Bcbs Vt bcbs of vermont - vermont health partnership - dhp professional · fee schedule · outpatient | $169.07 | $169.07 | $105.67 – $232.47 |
| 22 | Cigna cigna ppo professional · fee schedule · outpatient | $170.44 | $170.44 | $87.16 – $253.71 |
| 23 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $170.90 | $170.90 | $87.41 – $254.39 |
| 24 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $174.94 | $174.94 | $174.94 – $174.94 |
| 25 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $176.31 | $176.31 | $91.66 – $260.96 |
Last updated: Jan 1, 2026
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