CMS Price Transparency Data

Colonoscopy with biopsy

Facility: New London Hospital

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 45380
Insurance Median: $1,233
Cash Discount Price: $1,534
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Colonoscopy with biopsy at New London Hospital is $1,233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,534. Compared to the federal Medicare reimbursement reference rate of $1,222.56, this hospital’s rate is 1.01x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$1,534

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,233

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)

Cash / Self-Pay: $1,534 (125%)

Insurance Median: $1,233 (101%)

Cash: $1,534 (125% of Medicare)

Ins. Median: $1,233 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$193 - $4,391	16%
Martin'S Point Generations Advantage	$193 - $1,892	16%
Martin'S Point Health Care	$193 - $2,955	16%
UnitedHealthcare	$193 - $3,363	16%
Granite State Health Plan	$197 - $2,170	16%
Wellsense Health Plan	$197 - $1,892	16%
Amerihealth Caritas Nh	$199 - $2,191	16%
Wellcare Health Plans	$199 - $1,892	16%
Aetna	$222 - $3,715	18%
Ambetter / Centene	$222 - $1,892	18%
Harvard Pilgrim Health Care Of Ne	$229 - $3,067	19%
Cigna	$267 - $2,911	22%
Tufts Health Plan	$1,669 - $3,095	137%
Coventry	$2,281 - $4,064	187%
Multiplan	$2,293 - $4,085	188%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,534.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 45380.

Insurance In-Network Protection Plan

Contact your insurance company to confirm New London Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 45380.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.