CMS Price Transparency Data
Diagnostic procedure preparation
Facility: Upper Connecticut Valley Hospital
Billing Code: G0279 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$66
about 1.6× the $40 Medicare rate · typically $19–$177
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $66 Cash price $427 Hospital's list price $770
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $710 | 1757% |
| Blue Cross Blue Shieldmajor | $650 - $683 | 1609% |
| Harvard Pilgrim | $526 | 1302% |
Self-Pay How to get the cash price
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Other Procedures at Upper Connecticut Valley Hospital
Compare: Diagnostic procedure preparation at other NH hospitals
- Elliot Hospital · Manchester $17
- New London Hospital · New London $28
- Cheshire Medical Center · Keene $30
- Mary Hitchcock Memorial Hospital · Lebanon $43
- Catholic Medical Center · Manchester $77
- Weeks Medical Center · Lancaster $134
- Alice Peck Day Memorial Hospital · Lebanon $186
- Speare Memorial Hospital · Plymouth $220
Insurance negotiated median for the same procedure, sorted lowest first.