Alice Peck Day Memorial Hospital

Lebanon, NH · Critical Access Hospital

Posts prices for 58 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.

See something wrong with these prices? Tell us →

Compare this hospital against others interactively →

ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $426.89 $792 0.1×
Shoulder arthroscopy with decompression (29826) $280.82 $521 —
Knee arthroscopy with meniscectomy (29881) $854.31 $1,585 0.2×
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines		 $553.55–$1,311.93 $1,027–$2,434 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines		 $641.95–$1,530.22 $1,191–$2,839 varies
Diagnostic colonoscopy (45378)
range across 6 matching MRF lines		 $735.73–$1,636.94 $1,365–$3,037 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines		 $880.73–$1,401.94 $1,634–$2,601 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines		 $994.45–$1,231.61 $1,845–$2,285 varies
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure		 $1,189.57 $2,207 0.2×
Inguinal hernia repair (age 5+) (49505) $666.20 $1,236 0.2×
Obstetric care, vaginal delivery (global) (59400) $2,621.70 $4,864 —
Obstetric care, cesarean delivery (global) (59510) $2,968.27 $5,507 —
Obstetric care, VBAC delivery (global) (59610) $2,759.14 $5,119 —
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines		 $128.82–$192.96 $239–$358 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines		 $716.87–$1,501.65 $1,330–$2,786 varies
CT head/brain without contrast (70450) $646.26 $1,199 5.8×
MRI brain without contrast (70551) $1,445.06 $2,681 5.7×
MRI brain with contrast (70552) $1,400.32 $2,598 3.8×
MRI brain without and with contrast (70553) $3,819.89 $7,087 10.3×
X-ray lower spine, 4+ views (72110) $384.31 $713 3.4×
MRI lumbar spine without contrast (72148) $1,521.06 $2,822 6.0×
CT pelvis with contrast (72193) $1,154 $2,141 6.2×
MRI lower-extremity joint without contrast (73721) $1,544.23 $2,865 6.1×
CT abdomen and pelvis with contrast (74177) $1,331.87 $2,471 3.6×
Ultrasound, abdomen complete (76700) $537.38 $997 4.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $530.91 $985 4.8×
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines		 $53.36–$504.50 $99–$936 varies
Mammography, one breast (diagnostic) (77065) $465.70 $864 5.4×
Mammography, both breasts (diagnostic) (77066) $596.67 $1,107 5.4×
Mammography, screening (bilateral) (77067) $494.26 $917 5.4×
Basic metabolic panel (80048) $91.09 $169 10.8×
Comprehensive metabolic panel (80053) $120.74 $224 11.4×
Lipid panel (80061) $85.16 $158 6.4×
Renal function panel (80069) $70.61 $131 8.1×
Hepatic function panel (80076) $95.40 $177 11.7×
Urinalysis, non-automated, with microscopy (81000) $10.24 $19 2.5×
Urinalysis, non-automated, without microscopy (81002) $4.85 $9 1.4×
PSA, total (84153)
range across 3 matching MRF lines		 $30.18–$90.55 $56–$168 varies
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines		 $29.64–$128.28 $55–$238 varies
CBC with automated differential (85025) $59.83 $111 7.7×
CBC, automated (85027) $55.52 $103 8.6×
Prothrombin time (PT) (85610)
range across 2 matching MRF lines		 $7.55–$37.19 $14–$69 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines		 $34.50–$40.42 $64–$75 varies
Psychotherapy, 30 minutes (90832)
range across 2 matching MRF lines		 $60.91–$91.09 $113–$169 varies
Psychotherapy, 45 minutes (90834)
range across 2 matching MRF lines		 $80.85–$121.27 $150–$225 varies
Psychotherapy, 60 minutes (90837)
range across 2 matching MRF lines		 $119.12–$179.49 $221–$333 varies
Family psychotherapy, without patient (50 min) (90846)
range across 2 matching MRF lines		 $77.08–$116.42 $143–$216 varies
Family psychotherapy, with patient (50 min) (90847)
range across 2 matching MRF lines		 $79.77–$119.66 $148–$222 varies
Group psychotherapy (90853)
range across 2 matching MRF lines		 $21.02–$32.88 $39–$61 varies
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines		 $219.91–$1,792.17 $408–$3,325 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $45.28 $84 1.6×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines		 $71.69–$167.09 $133–$310 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines		 $107.80–$271.12 $200–$503 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines		 $136.37–$341.19 $253–$633 varies
Office consultation (low complexity, ~30 min) (99243)
range across 3 matching MRF lines		 $104.57–$259.80 $194–$482 varies
Office consultation (moderate complexity, ~40 min) (99244)
range across 3 matching MRF lines		 $154.69–$503.43 $287–$934 varies
Preventive visit, new patient (age 18–39) (99385)
range across 2 matching MRF lines		 $74.38–$112.11 $138–$208 varies
Preventive visit, new patient (age 40–64) (99386)
range across 2 matching MRF lines		 $87.32–$131.52 $162–$244 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

More prices at this hospital

Get the raw price file

Download the machine-readable file (CSV, 34.7 MB) ↓ — captured 2026-08-28

File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.