CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Wentworth-Douglass Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,181

about 1.2× the $950 Medicare rate · typically $969–$2,026

modeled estimate · not a bill or quote

What this hospital charges insurers

$967

Below the fair price — a good deal

about $214 under the fair price · 1.0× Medicare

Medicare pays $950 Fair price $1,181 This hospital $967 Cash price $3,206 Hospital's list price $5,344

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 6 of 8 other NH hospitals charge less.

Cheapest $153 Priciest $1,351

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Colonoscopy (diagnostic) is about $1,181 (about 1.2× the $950 Medicare rate). Wentworth-Douglass Hospital charges insurers about $967, or about $3,206 in cash — below the fair price — a good deal. Located in Dover, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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	$953 - $4,136	100%
Blue Cross Blue Shieldmajor	$933 - $6,087	98%
Aetnamajor	$3,730	393%
Cignamajor	$3,041	320%
Humanamajor	$981	103%
WellSense	$622 - $953	65%
+ 3 smaller / regional plans	$622 - $3,361

Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,206), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 45378.

Insurance Before you use insurance

Call your insurance company to confirm Wentworth-Douglass Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45378.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wentworth-Douglass Hospital

Compare: Colonoscopy (diagnostic) at other NH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.