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
NEONATE BIRTHWT >2499G W SIGNIF O.R. PROC W/O MULT MAJOR PROB
Lebanon, NH
See all hospitals reporting MS-DRG 787 →Price type
Mary Hitchcock Memorial Hospital’s median price of $11.5k is 6% above the median hospital's median price ($10.8k), higher than 61% of the 2,173 hospitals reporting MS-DRG 787. 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, 18 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 facility · case rate · inpatient | $7,916 | $7,916 | $7,916 – $7,916 |
| 2 | Bcbs Vt bcbs of vermont - medicare advantage facility · case rate · inpatient | $7,916 | $7,916 | $7,916 – $7,916 |
| 3 | UnitedHealthcare uhc - medicare advantage facility · case rate · inpatient | $7,916 | $7,916 | $7,916 – $7,916 |
| 4 | UnitedHealthcare uhc - va community care network facility · case rate · inpatient | $7,916 | $7,916 | $7,916 – $7,916 |
| 5 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · case rate · inpatient | $8,054 | $8,054 | $8,054 – $8,054 |
| 6 | Aetna aetna medicare advantage facility · case rate · inpatient | $8,153 | $8,153 | $8,153 – $8,153 |
| 7 | Cigna cigna medicare advantage facility · case rate · inpatient | $8,153 | $8,153 | $8,153 – $8,153 |
| 8 | WellCare wellcare - medicare advantage facility · case rate · inpatient | $8,232 | $8,232 | $8,232 – $8,232 |
| 9 | Ambetter ambetter commercial - exchange facility · case rate · inpatient | $11,462 | $11,462 | $11,462 – $11,462 |
| 10 | Anthem anthem indiv qhp - exchange facility · case rate · inpatient | $15,354 | $15,354 | $15,354 – $15,354 |
| 11 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $16,192 | $16,192 | $16,192 – $16,192 |
| 12 | Bcbs Vt bcbs of vermont - vermont health partnership facility · case rate · inpatient | $18,606 | $18,606 | $18,606 – $18,606 |
| 13 | Bcbs Vt bcbs of vermont - the vermont health plan facility · case rate · inpatient | $18,795 | $18,795 | $18,795 – $18,795 |
| 14 | Anthem anthem shop - exchange facility · case rate · inpatient | $19,437 | $19,437 | $19,437 – $19,437 |
| 15 | Cigna cigna hmo-pos facility · case rate · inpatient | $20,464 | $20,464 | $20,464 – $20,464 |
| 16 | Bcbs Vt bcbs of vermont non-managed care plans facility · case rate · inpatient | $22,944 | $22,944 | $22,944 – $22,944 |
| 17 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch facility · case rate · inpatient | $29,933 | $29,933 | $29,933 – $29,933 |
| 18 | Anthem anthem ppo facility · case rate · inpatient | $31,965 | $31,965 | $31,965 – $31,965 |
Last updated: Jan 1, 2026
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