Extremity study at Mary Hitchcock Memorial Hospital

Lebanon, NH

Pricing by billing methodology

Price type

How this price compares nationally

Mary Hitchcock Memorial Hospital’s median price of $123 is 55% below the median hospital's median price ($277), higher than 20% of the 2,576 hospitals reporting CPT 93971. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 93971 at Mary Hitchcock Memorial Hospital

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 professional · percent of total billed charges · outpatientfrom % of charges	$35.46	$35.46	$35.46 – $35.46
2	Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient	$58.85	$58.85	$20.11 – $97.58
3	Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient	$58.85	$58.85	$20.11 – $97.58
4	UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient	$58.85	$58.85	$20.11 – $97.58
5	UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient	$58.85	$58.85	$20.11 – $97.58
6	Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient	$60.61	$60.61	$20.71 – $100.50
7	Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient	$60.61	$60.61	$20.71 – $100.50
8	WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient	$61.20	$61.20	$20.91 – $101.48
9	Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient	$61.78	$61.78	$21.11 – $102.45
10	Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient	$62.80	$62.80	$17.32 – $108.27
11	Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient	$81.63	$81.63	$81.63 – $81.63
12	Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient	$111.91	$111.91	$38.87 – $184.94
13	Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient	$115.03	$115.03	$39.95 – $190.10
14	Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient	$115.67	$115.67	$40.18 – $191.15
15	Anthem anthem shop - exchange professional · fee schedule · outpatient	$116.86	$116.86	$43.74 – $189.98
16	UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient	$117.68	$117.68	$117.68 – $117.68
17	Anthem anthem - medicare advantage facility · fee schedule · outpatient	$119.00	$119.00	$119.00 – $119.00
18	Bcbs Vt bcbs of vermont - medicare advantage facility · fee schedule · outpatient	$119.00	$119.00	$119.00 – $119.00
19	UnitedHealthcare uhc - medicare advantage facility · fee schedule · outpatient	$119.00	$119.00	$119.00 – $119.00
20	UnitedHealthcare uhc - va community care network facility · fee schedule · outpatient	$119.00	$119.00	$119.00 – $119.00
21	Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient	$120.99	$120.99	$45.29 – $196.69
22	Aetna aetna medicare advantage facility · fee schedule · outpatient	$122.57	$122.57	$122.57 – $122.57
23	Cigna cigna medicare advantage facility · fee schedule · outpatient	$122.57	$122.57	$122.57 – $122.57
24	WellCare wellcare - medicare advantage facility · fee schedule · outpatient	$123.76	$123.76	$123.76 – $123.76
25	Anthem anthem ppo - dhp professional · fee schedule · outpatient	$128.09	$128.09	$44.49 – $211.69

Page 1 of 5 · 101 rates

Last updated: Jan 1, 2026

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