CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Alice Peck Day Memorial Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$681

about 0.6× the $1,223 Medicare rate · typically $135–$2,135

modeled estimate · not a bill or quote

What this hospital charges insurers

$179

Below the fair price — a good deal

about $502 under the fair price · 0.1× Medicare

Medicare pays $1,223 Fair price $681 This hospital $179 Cash price $1,141 Hospital's list price $2,118

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Lowest price of the 9 NH hospitals we have prices for — a strong deal.

Cheapest $179 Priciest $1,654

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 with biopsy is about $681 (about 0.6× the $1,223 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $179, or about $1,141 in cash — below the fair price — a good deal. Located in Lebanon, 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	$1,176 - $1,873	96%
Blue Cross Blue Shieldmajor	$808 - $2,315	66%
Aetnamajor	$1,471 - $2,471	120%
Cignamajor	$1,252 - $2,128	102%
Humanamajor	$1,699 - $2,705	139%
Ambetter (Centene)	$175	14%
Harvard Pilgrim	$1,016 - $2,255	83%
MVP Health Care	$1,487 - $2,367	122%
Tufts Health Plan	$1,198 - $1,907	98%
+ 4 smaller / regional plans	$182 - $2,011

Government programs also on file: Medicaid.

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 1,141), 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: 45380.

Insurance Before you use insurance

Call your insurance company to confirm Alice Peck Day Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 45380.
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 Alice Peck Day Memorial Hospital

Compare: Colonoscopy with biopsy at other NH hospitals

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
Mary Hitchcock Memorial Hospital · Lebanon $1,273
Elliot Hospital · Manchester $1,536
Catholic Medical Center · Manchester $1,654

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