Colonoscopy with biopsy
Facility: Mary Hitchcock Memorial Hospital
Billing Code: 45380 (CPT)
This hospital's typical commercial price is $1,273 compared to the $726 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.75× fair market pricing.
On the higher side — 7 of 8 other NH hospitals charge less.
Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.
A fair price for a Colonoscopy with biopsy is about $726 (about 0.6× the $1,223 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $1,273, or about $1,473 in cash — well above the fair price. Located in Lebanon, NH.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $726. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $193 - $8,280 | 16% |
| Blue Cross Blue Shieldmajor | $622 - $5,134 | 51% |
| Aetnamajor | $640 - $4,616 | 52% |
| Cignamajor | $488 - $4,214 | 40% |
| Ambetter (Centene) | $459 - $2,839 | 38% |
| AmeriHealth | $325 - $601 | 27% |
| Harvard Pilgrim | $143 - $4,714 | 12% |
| MVP Health Care | $622 - $3,555 | 51% |
| Tufts Health Plan | $694 - $3,096 | 57% |
| WellCare | $646 - $1,372 | 53% |
| WellSense | $325 - $1,385 | 27% |
| + 7 smaller / regional plans | $325 - $5,041 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mary Hitchcock Memorial Hospital
Compare: Colonoscopy with biopsy at other NH hospitals
- Alice Peck Day Memorial Hospital · Lebanon $179
- St Joseph Hospital · Nashua $236
- New London Hospital · New London $306
- Northeast Rehabilitation Hospital Network · Salem $985
- Weeks Medical Center · Lancaster $1,019
- Cheshire Medical Center · Keene $1,232
- Wentworth-Douglass Hospital · Dover $1,256
- Elliot Hospital · Manchester $1,536
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mary Hitchcock Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,747
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,747).
Self-Pay Cash Rate ($1,473) Beats Your Bill
Mary Hitchcock Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $1,473 (vs. $1,273 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $726 Fair BaseRate ($1,223 Medicare)
Your bill ($4,814) is $4,088 above the denoised Fair BaseRate ($726) and 3.9× the $1,223 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.