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
Exercise tst brncspsm w/ecg
Lebanon, NH
See all hospitals reporting CPT 94617 →Price type
Mary Hitchcock Memorial Hospital’s median price of $114 is 28% below the median hospital's median price ($158), higher than 14% of the 1,599 hospitals reporting CPT 94617. 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, 69 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 | $30.30 | $30.30 | $21.95 – $38.65 |
| 2 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $44.35 | $44.35 | $30.29 – $58.40 |
| 3 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $44.35 | $44.35 | $30.29 – $58.40 |
| 4 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $44.35 | $44.35 | $30.29 – $58.40 |
| 5 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $44.35 | $44.35 | $30.29 – $58.40 |
| 6 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $45.67 | $45.67 | $31.19 – $60.15 |
| 7 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $45.67 | $45.67 | $31.19 – $60.15 |
| 8 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $45.68 | $45.68 | $31.20 – $60.15 |
| 9 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $46.12 | $46.12 | $31.50 – $60.73 |
| 10 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $46.56 | $46.56 | $31.80 – $61.32 |
| 11 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $47.93 | $47.93 | $34.60 – $61.25 |
| 12 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $85.43 | $85.43 | $85.43 – $85.43 |
| 13 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $88.69 | $88.69 | $88.69 – $88.69 |
| 14 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $105.18 | $105.18 | $71.84 – $138.52 |
| 15 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $113.35 | $113.35 | $81.83 – $144.87 |
| 16 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $114.24 | $114.24 | $81.16 – $147.32 |
| 17 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $131.68 | $131.68 | $94.04 – $169.31 |
| 18 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $136.33 | $136.33 | $97.37 – $175.29 |
| 19 | Anthem anthem - medicare advantage facility · case rate · outpatient | $144.25 | $144.25 | $144.25 – $144.25 |
| 20 | Bcbs Vt bcbs of vermont - medicare advantage facility · case rate · outpatient | $144.25 | $144.25 | $144.25 – $144.25 |
| 21 | UnitedHealthcare uhc - medicare advantage facility · case rate · outpatient | $144.25 | $144.25 | $144.25 – $144.25 |
| 22 | UnitedHealthcare uhc - va community care network facility · case rate · outpatient | $144.25 | $144.25 | $144.25 – $144.25 |
| 23 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $145.53 | $145.53 | $101.37 – $189.68 |
| 24 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $145.78 | $145.78 | $99.57 – $191.99 |
| 25 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $146.31 | $146.31 | $104.50 – $188.12 |
Last updated: Jan 1, 2026
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