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ALICE PECK DAY MEMORIAL HOSPITAL

Lebanon, NH · CCN 301305 · Rates published

2,692 distinct procedures filed
28 distinct payers
116,629 rate rows
2026-01-01 last MRF observed

114,722 of 116,629 rate rows are consumer-grade (98.4%)

1,907 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 1,297
percent-of-charges filed in the dollar field — excluded from medians 486
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 81
placeholder amount (≤ $0.02) — excluded from medians 33
exceeds 10× this hospital's gross charge — excluded from medians 10
↓ Download audit trail (JSON)
Source MRF file https://www.alicepeckday.org/02-0222791_Alice%20Peck%20Day%20Memorial_standardcharges.csv
Found on page https://www.alicepeckday.org/patients/billing-financial-assistance
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 780327c81639bc37… · 34,665,298 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1950
HCPCS
Leuprolide Acetate, Per 3.75 Mg, Inj (Lupron Depot) 14 $1,474.18 $6,370.35 $6,370.35 nat. median
$3,343

1.9× median
70553
CPT
MRI Brn Brn Stem C-/c+ 20 $1,802.80 $7,370.48 $5,102.64 nat. median
$616

outlier · 8.3×
73720
CPT
MRI Lxtr Oth/Thn Jt C-/c+ 22 $43.20 $7,312.24 $5,010.99 nat. median
$754

outlier · 6.6×
73220
CPT
MRI Uxtr Oth/Thn Jt C-/c+ 22 $60.00 $7,312.24 $5,010.99 nat. median
$737

outlier · 6.8×
58553
CPT
Hysterectomy 26 $653.44 $5,956.08 $4,426.97 nat. median
$10,218

outlier · 0.4×
58563
CPT
Hysteroscopy W Endometrial Ablation, Professional 26 $225.61 $5,939.44 $4,414.60 nat. median
$5,302

0.8× median
73723
CPT
MRI Any Jt Lxtr C-/c+ 22 $52.03 $6,435.52 $4,410.19 nat. median
$756

outlier · 5.8×
27134
CPT
Revise Hip Joint Replacement 26 $875.00 $5,920.72 $4,400.69 nat. median
$9,347

outlier · 0.5×
45390
CPT
Colonoscopy, Flexible, W Endoscopic Mucosal Resection, Technical 24 $2,539.19 $5,753.28 $4,276.24 nat. median
$2,796

1.5× median
72157
CPT
MRI Spi Canal&Cnts C-/c+ 22 $92.70 $6,238.96 $4,275.48 nat. median
$624

outlier · 6.8×
72156
CPT
MRI Spi Canal&Cnts C-/c+ Crv 22 $103.93 $6,238.96 $4,275.48 nat. median
$625

outlier · 6.8×
72158
CPT
MRI Spi Canal&Cnts C-/c+ Lmbr 22 $61.20 $6,238.96 $4,275.48 nat. median
$616

outlier · 6.9×
59510
CPT
OB Antepartum Care Cesarean Delivery & Postpartum, Professional 26 $1,200.00 $5,727.28 $4,256.91 nat. median
$3,349

1.3× median
72197
CPT
MRI Pelvis C-/c+ 22 $52.48 $6,108.96 $4,186.40 nat. median
$606

outlier · 6.9×
73223
CPT
MRI Any Jt Uxtr C-/c+ 22 $52.03 $6,023.68 $4,127.96 nat. median
$757

outlier · 5.5×
71552
CPT
MRI Chest W/o&w Contrast 22 $52.11 $6,018.48 $4,124.40 nat. median
$691

outlier · 6.0×
74183
CPT
MRI Abd C-/c+ 22 $52.48 $6,018.48 $4,124.40 nat. median
$611

outlier · 6.8×
22633
CPT
Arthrodesis Combined Technique 1 Interspace Lumbar 26 $804.06 $5,519.28 $4,102.31 nat. median
$15,119

outlier · 0.3×
70543
CPT
MRI Orbit Face&Nck C-/c+ 20 $2,041.92 $5,871.84 $4,065.12 nat. median
$605

outlier · 6.7×
70540
CPT
MRI Orbit Face &/Neck Without Contrast 20 $1,391.56 $5,871.84 $4,065.12 nat. median
$451

outlier · 9.0×
58565
CPT
Hysteroscopy W Bilat Tube Occlusion W Permanent Implants, Professional 26 $276.37 $5,419.44 $4,028.10 nat. median
$5,181

0.8× median
59610
CPT
Routine OB Care Vag Dlvry & Postpartum After Prev Cesarean, Professional 26 $1,200.00 $5,323.76 $3,956.99 nat. median
$3,150

1.3× median
27132
CPT
Total Hip Arthroplasty 26 $950.00 $5,171.92 $3,844.13 nat. median
$12,910

outlier · 0.3×
PX-CC00242
CDM
Suction Assisted Lipectomy, Professional 24 $2,267.46 $5,137.60 $3,818.62 —
61343
CPT
Procedure Of Skull 26 $900.00 $5,079.36 $3,775.33 nat. median
$4,320

0.9× median
70548
CPT
MRA Nck C+ Matrl 20 $1,484.61 $5,431.92 $3,760.56 nat. median
$544

outlier · 6.9×
59400
CPT
OB Care Incl Antepartum, Vaginal Delivery And Postpartum, Professional 26 $1,200.00 $5,058.56 $3,759.87 nat. median
$2,933

1.3× median
27487
CPT
Revise Knee Joint Replace, All Parts 26 $700.00 $5,021.12 $3,732.04 nat. median
$11,543

outlier · 0.3×
81457
CPT
Complete Sarcoma Panel 24 $2,216.05 $5,021.12 $3,732.04 nat. median
$942

outlier · 4.0×
70549
CPT
MRA Nck C-/c+ 22 $59.49 $5,431.92 $3,722.43 nat. median
$606

outlier · 6.1×
44204
CPT
Surgery Procedure 26 $803.89 $4,893.20 $3,636.97 nat. median
$4,854

0.7× median
74174
CPT
CT Angio Abd&Plvis Cntrst Mtrl W/wo Cntrst Imges 20 $2,314.28 $5,243.68 $3,630.24 nat. median
$549

outlier · 6.6×
58542
CPT
Surgery Of Uterus 26 $494.84 $4,855.76 $3,609.14 nat. median
$9,795

outlier · 0.4×
58180
CPT
Supracervical Abdominal Hysterectomy Without Removal Tube/Ovary, Professional 26 $400.00 $4,837.04 $3,595.22 nat. median
$3,970

0.9× median
70546
CPT
MRA Head C-/c+ 20 $2,188.00 $5,136.56 $3,556.08 nat. median
$625

outlier · 5.7×
58554
CPT
Hysterectomy 26 $646.39 $4,763.20 $3,540.34 nat. median
$9,620

outlier · 0.4×
27138
CPT
Revise Hip Joint Replacement 26 $931.84 $4,726.80 $3,513.29 nat. median
$11,000

outlier · 0.3×
70482
CPT
CT Orbit Sella/Post Fossa/Ear C-/c+ 22 $45.00 $5,102.24 $3,496.51 nat. median
$355

outlier · 9.9×
63282
CPT
Biopsy/Removal Spinal Tumor 26 $700.00 $4,696.64 $3,490.87 nat. median
$7,417

outlier · 0.5×
58270
CPT
Vaginal Hysterectomy 26 $450.00 $4,632.16 $3,442.94 nat. median
$5,227

0.7× median
27137
CPT
Revise Hip Joint Replacement 26 $1,087.22 $4,544.80 $3,378.01 nat. median
$10,335

outlier · 0.3×
22612
CPT
Arthrodesis Posterior/Pstlat Technique 1 Interspace Lumbar 26 $1,146.62 $4,541.68 $3,375.69 nat. median
$13,201

outlier · 0.3×
22630
CPT
Arthrodesis Posterior Interbody 1 Interspace Lumbar 26 $1,020.00 $4,411.68 $3,279.07 nat. median
$16,840

outlier · 0.2×
22861
CPT
Rev W Replacement Total Disc Arthroplasty Ant, One Interspace, Cervical 24 $1,876.85 $4,252.56 $3,160.80 nat. median
$10,727

outlier · 0.3×
Q9992
HCPCS
Buprenorphine Extended-release (Sublocade), Greater Than 100 Mg, Inj 24 $1,851.15 $4,194.32 $3,117.51 nat. median
$2,403

1.3× median
27130
CPT
Total Hip Arthroplasty 26 $850.00 $4,186.00 $3,111.33 nat. median
$12,734

outlier · 0.2×
23472
CPT
Reconstruct Shoulder Joint 26 $500.00 $4,161.04 $3,092.77 nat. median
$16,735

outlier · 0.2×
PX-CC00262
CDM
Augmentation Mammoplasty W Capsulectomy, Bilat(Incl Implants), Professional 24 $1,836.00 $4,160.00 $3,092.00 —
27447
CPT
Total Knee Arthroplasty 26 $1,129.85 $4,151.68 $3,085.82 nat. median
$12,374

outlier · 0.2×
63266
CPT
Removal Spinal Lesion 26 $625.00 $4,094.48 $3,043.30 nat. median
$7,413

outlier · 0.4×

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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