CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: New London Hospital

Billing Code: 45378 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$250

about 0.3× the $950 Medicare rate · typically $186–$780

modeled estimate · not a bill or quote

What this hospital charges insurers

$208

Below the fair price — a good deal

about $42 under the fair price · 0.2× Medicare

Medicare pays $950 Fair price $250 This hospital $208 Cash price $1,005 Hospital's list price $2,199

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 7 of 8 other NH hospitals charge more for the same procedure.

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 $250 (about 0.3× the $950 Medicare rate). New London Hospital charges insurers about $208, or about $1,005 in cash — below the fair price — a good deal. Located in New London, NH.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$167 - $3,363	18%
Blue Cross Blue Shieldmajor	$167 - $3,415	18%
Aetnamajor	$150 - $4,064	16%
Cignamajor	$246 - $2,911	26%
Ambetter (Centene)	$204 - $1,892	21%
AmeriHealth	$171 - $2,191	18%
Harvard Pilgrim	$211 - $3,067	22%
Tufts Health Plan	$1,513 - $3,095	159%
WellCare	$172 - $1,892	18%
WellSense	$169 - $1,892	18%
+ 3 smaller / regional plans	$167 - $2,955

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,005), 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 New London 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 New London Hospital

Compare: Colonoscopy (diagnostic) at other NH hospitals

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