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
Alcohol and/or drug services
Lebanon, NH
See all hospitals reporting HCPCS H0015 →Price type
Mary Hitchcock Memorial Hospital’s median price of $132 is 55% below the median hospital's median price ($291), higher than 16% of the 500 hospitals reporting HCPCS H0015. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 40 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 | $21.75 | $21.75 | $21.75 – $21.75 |
| 2 | Aetna aetna - hmo/pos/ppo professional · fee schedule · outpatient | $54.88 | $54.88 | $54.88 – $54.88 |
| 3 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $54.88 | $54.88 | $54.88 – $54.88 |
| 4 | Aetna aetna hmo/pos/ppo - arnb professional · fee schedule · outpatient | $54.88 | $54.88 | $54.88 – $54.88 |
| 5 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $78.69 | $78.69 | $78.69 – $78.69 |
| 6 | Cigna cigna ppo professional · fee schedule · outpatient | $78.69 | $78.69 | $78.69 – $78.69 |
| 7 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $91.36 | $91.36 | $91.36 – $91.36 |
| 8 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $91.36 | $91.36 | $91.36 – $91.36 |
| 9 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · outpatientfrom % of charges | $94.27 | $94.27 | $94.27 – $94.27 |
| 10 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · inpatientfrom % of charges | $97.54 | $97.54 | $97.54 – $97.54 |
| 11 | Bcbs Vt bcbs of vermont - the vermont health plan professional · percent of total billed charges · outpatientfrom % of charges | $105.22 | $105.22 | $105.22 – $105.22 |
| 12 | Bcbs Vt bcbs of vermont - vermont health partnership professional · percent of total billed charges · outpatientfrom % of charges | $105.22 | $105.22 | $105.22 – $105.22 |
| 13 | Cigna cigna hmo-pos professional · percent of total billed charges · outpatientfrom % of charges | $116.16 | $116.16 | $116.16 – $116.16 |
| 14 | Aetna aetna hmo/pos/ppo - arnb professional · percent of total billed charges · inpatientfrom % of charges | $117.89 | $117.89 | $117.89 – $117.89 |
| 15 | Aetna aetna hmo/pos/ppo - arnb professional · percent of total billed charges · outpatientfrom % of charges | $117.89 | $117.89 | $117.89 – $117.89 |
| 16 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $119.36 | $119.36 | $119.36 – $119.36 |
| 17 | Bcbs Vt bcbs of vermont non-managed care plans professional · percent of total billed charges · outpatientfrom % of charges | $128.26 | $128.26 | $128.26 – $128.26 |
| 18 | Cigna cigna ppo professional · percent of total billed charges · outpatientfrom % of charges | $131.71 | $131.71 | $131.71 – $131.71 |
| 19 | Aetna aetna hmo/pos/ppo professional · percent of total billed charges · inpatientfrom % of charges | $134.78 | $134.78 | $134.78 – $134.78 |
| 20 | Aetna aetna hmo/pos/ppo professional · percent of total billed charges · outpatientfrom % of charges | $134.78 | $134.78 | $134.78 – $134.78 |
| 21 | UnitedHealthcare uhc - hmo/pos/ppo professional · percent of total billed charges · inpatientfrom % of charges | $141.70 | $141.70 | $141.70 – $141.70 |
| 22 | UnitedHealthcare uhc - hmo/pos/ppo professional · percent of total billed charges · outpatientfrom % of charges | $147.46 | $147.46 | $147.46 – $147.46 |
| 23 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $153.22 | $153.22 | $153.22 – $153.22 |
| 24 | Anthem anthem - federal employee program professional · percent of total billed charges · inpatientfrom % of charges | $157.56 | $157.56 | $157.56 – $157.56 |
| 25 | Anthem anthem - indemnity professional · percent of total billed charges · inpatientfrom % of charges | $157.56 | $157.56 | $157.56 – $157.56 |
Last updated: Jan 1, 2026
See Intensive outpatient alcohol and drug treatment program pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.