Colonoscopy Cost in New Hampshire (2026): Average Prices & What You'll Pay
What does a colonoscopy cost in New Hampshire?
For a commercially insured patient, a colonoscopy in New Hampshire typically runs $941–$2,640 once facility and physician fees are combined. The median reported facility price across 26 hospitals is $992. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
Dartmouth Health (Dartmouth-Hitchcock) and Catholic Medical Center are New Hampshire's major systems, with a hospital market that is concentrated relative to its population. New Hampshire had a historically high uninsured rate before Medicaid expansion in 2014. Hospital prices trend above the New England average outside Massachusetts.
Colonoscopy pricing is particularly sensitive to screening vs. diagnostic coding. A screening colonoscopy is typically covered at 100% under preventive care benefits, but if a polyp is removed or a finding is documented during the same visit, the claim is often re-coded as diagnostic — triggering your deductible and coinsurance. Ambulatory surgery centers perform over 70% of colonoscopies nationally and charge substantially less than hospital outpatient settings.
The same colonoscopy that costs $100 at The New London Hospital Association, Inc. reaches $39,165 at The New London Hospital Association, Inc. — a 391.6× gap across the 26 New Hampshire hospitals reporting prices. The median New Hampshire price is $992. Most facilities fall between $325 and $1,284. There's a gap between the sticker and the real price here: a median cash quote of $992 sits above the $487 insurers negotiate — about 2× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Where you go inside New Hampshire counts as much as which plan you have: North Conway's median ($1,644) runs 4.4× Plymouth's ($375).
Colonoscopy billing is more complex than most procedures — and most patients find out after the fact.
The free toolkit shows you:
- ✓ Which 3–4 separate bills typically arrive (and which to dispute)
- ✓ Why anesthesia is often billed out-of-network even at in-network facilities
- ✓ The exact questions to ask before you schedule — that can cut your bill 30–50%
- ✓ What insurance actually covers vs. what they hope you won't notice
- ✓ A real patient billing breakdown, line by line
Free for patients — takes 30 seconds to get.
We'll email it to you immediately. No account required, no spam.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $325
- Median hospital: $992
- Higher-cost hospitals (top 30%): $1,284+
That's a 4× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$1,284
- Patient B (lower-rate in-network plan): ~$433
Where colonoscopy costs vary in New Hampshire
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
See every New Hampshire hospital's price
The 5 cheapest are shown. Enter your email to reveal the rest of the map and unlock all 21 remaining facilities — instantly.
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Estimate YOUR exact out-of-pocket cost →
Cheapest Colonoscopy Providers in New Hampshire
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Huggins Hospital | Wolfeboro, NH | $224 | -$768 |
| 2 | Speare Memorial Hospital | Plymouth, NH | $243 | -$749 |
| 3 | Cottage Hospital | Woodsville, NH | $260 | -$732 |
| 4 | Littleton Regional Healthcare | Littleton, NH | $277 | -$715 |
| 5 | VALLEY REGIONAL HOSPITAL | Claremont, NH | $294 | -$698 |
| 6 | The New London Hospital Association, Inc. | NH | $356 | -$636 |
| 7 | Northeast Rehabilitation Hospital | Salem, NH | $420 | -$572 |
| 8 | Weeks Medical Center | Lancaster, NH | $483 | -$509 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Colonoscopy costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$1,840 |
| Deductible met — 20% coinsurance | ~$368 |
| Out-of-network provider | $4,048+ |
Based on a typical episode cost of $1,840 (facility + physician fees). Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $-2,095+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in New Hampshire start around $325 or below. Most hospitals cluster between $325 and $1,308. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Mary Hitchcock Memorial Hospital in Lebanon (cash price from $202); Cheshire Medical Center in Keene (cash price from $208); Huggins Hospital in Wolfeboro (cash price from $224). These are declared cash prices — contact each facility for a formal quote before scheduling.
How where you go changes what you pay for colonoscopy
The same colonoscopy bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $201–$3,327
- Professional fee $84–$8,276
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $201–$3,327
- Professional fee $84–$8,276
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $222–$1,642
- Professional fee $84–$8,276
- Anesthesia $184–$492
Estimated from CMS fee schedules + commercial rate multipliers
Note: Ambulatory surgery centers (ASCs) are often 30–60% cheaper than hospital outpatient departments for the same procedure. Most ASC prices are not in the hospital transparency dataset above. Ask your doctor whether this procedure can be done at a freestanding ASC.
- Best value hospitals (lowest prices): MaineHealth: $3,087; The New London Hospital Association, Inc.: $202; Mary Hitchcock Memorial Hospital: $202
- Most expensive (outpatient): Monadnock Community Hospital: ~$3,327; Upper Connecticut Valley Hospital: ~$3,108
→ Choosing the right facility can save $-2,095+ vs. the state median.
New Hampshire Colonoscopy prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | MaineHealth | North Conway, NH | $3,087 | +$2,095 | $3,087–$20,161 |
| #2 | The New London Hospital Association, Inc. | NH | $202 | -$790 | $101–$39,165 |
| #3 | Mary Hitchcock Memorial Hospital | Lebanon, NH | $202 | -$790 | $111–$10,613 |
| #4 | Cheshire Medical Center | Keene, NH | $208 | -$784 | $104–$6,027 |
| #5 | Huggins Hospital | Wolfeboro, NH | $224 | -$768 | $250–$7,167 |
| #6 | Speare Memorial Hospital | Plymouth, NH | $243 | -$749 | $243–$9,312 |
| #7 | Cottage Hospital | Woodsville, NH | $1,283 | +$291 | $1,283–$38,587 |
| #8 | Littleton Regional Healthcare | Littleton, NH | $277 | -$715 | $479–$3,583 |
| #9 | VALLEY REGIONAL HOSPITAL | Claremont, NH | $294 | -$698 | $124–$1,946 |
| #10 | Northeast Rehabilitation Hospital | Salem, NH | $420 | -$572 | $184–$2,963 |
| #11 | Weeks Medical Center | Lancaster, NH | $483 | -$509 | $118–$1,103 |
| #12 | Androscoggin Valley Hospital | Berlin, NH | $694 | -$298 | $1,103 |
| #13 | CATHOLIC MEDICAL CENTER | Manchester, NH | $951 | -$41 | $951–$8,130 |
| #14 | Exeter Hospital Inc | Exeter, NH | $992 | +$0 | $992–$2,963 |
| #15 | Elliot Hospital | Manchester, NH | $992 | +$0 | $992–$6,482 |
| #16 | Southern NH Medical Center | Nashua, NH | $1,015 | +$23 | $1,015–$11,351 |
| #17 | DOVER EMERGENCY ROOM | Dover, NH | $1,282 | +$290 | $1,282–$31,104 |
| #18 | SEABROOK EMERGENCY | Seabrook, NH | $1,282 | +$290 | $1,282–$31,104 |
| #19 | PORTSMOUTH REGIONAL HOSPITAL | Portsmouth, NH | $1,282 | +$290 | $1,282–$31,104 |
| #20 | PARKLAND MEDICAL CENTER | Derry, NH | $1,284 | +$292 | $1,284–$30,943 |
| #21 | PLAISTOW FSER | Plaistow, NH | $1,284 | +$292 | $1,284–$30,943 |
| #22 | FRISBIE MEMORIAL HOSPITAL | Rochester, NH | $1,332 | +$340 | $1,332–$29,626 |
| #23 | Concord Hospital | Concord, NH | $1,478 | +$486 | $4,927–$10,689 |
| #24 | Concord Hospital - Laconia | Laconia, NH | $2,385 | +$1,393 | $7,951–$9,738 |
| #25 | Upper Connecticut Valley Hospital | Colebrook, NH | $3,108 | +$2,116 | $5,600 |
| #26 | Monadnock Community Hospital | Peterborough, NH | $3,327 | +$2,335 | $120–$5,545 |
Unlock all 21 remaining New Hampshire hospitals
Enter your email to reveal the full table instantly — and we'll email you the complete price list as a PDF to keep.
We'll email you the full New Hampshire price list as a PDF. Sourced from CMS files. No spam.
Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in New Hampshire:
Where you can save the most on colonoscopy in New Hampshire
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| MaineHealth | North Conway, NH | $3,087 | +$2,095 |
| The New London Hospital Association, Inc. | NH | $202 | -$790 |
| Mary Hitchcock Memorial Hospital | Lebanon, NH | $202 | -$790 |
| Cheshire Medical Center | Keene, NH | $208 | -$784 |
| Huggins Hospital | Wolfeboro, NH | $224 | -$768 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive colonoscopy providers in New Hampshire
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| Monadnock Community Hospital | Peterborough, NH | $3,327 | +$2,335 |
| Upper Connecticut Valley Hospital | Colebrook, NH | $3,108 | +$2,116 |
| MaineHealth | North Conway, NH | $3,087 | +$2,095 |
| Concord Hospital - Laconia | Laconia, NH | $2,385 | +$1,393 |
| Concord Hospital | Concord, NH | $1,478 | +$486 |
Why prices vary this much
A small number of hospitals (3) report very high prices above $2,782, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.
Setting drives much of the gap in New Hampshire: the median outpatient price is $1,004 versus $690 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the New Hampshire facilities reporting prices, 9 fall in a low-cost tier (up to $325) while 9 sit in a high-cost tier ($1,308 and up) — a lower-priced option almost always exists within the same state.
Among the cities with the most reporting hospitals, Manchester has a median reported price of $992 across 3 facilities, while facilities in Plymouth tend to report lower prices (median: $375). City-level variation within a state often reflects local market structure, not procedure complexity.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Colonoscopy Costs by Metro Area in New Hampshire
Prices vary across New Hampshire metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:
Compare colonoscopy costs in nearby states
Frequently asked questions: colonoscopy costs in New Hampshire
How much does a colonoscopy cost in New Hampshire?
Across 26 New Hampshire hospitals that publish prices, a colonoscopy ranges from $100 to $39,165, with a median of $992. Most facilities fall between $325 and $1,284. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a colonoscopy in New Hampshire?
Based on declared prices, the lowest-cost facility in our New Hampshire data is The New London Hospital Association, Inc. at about $202. By metro, Plymouth has the lowest median ($375). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.
Why is a colonoscopy so much cheaper at some New Hampshire hospitals?
Prices vary up to 391.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Hampshire, the median cash (self-pay) price is $992 versus a median negotiated rate of $487 — about 2× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a colonoscopy in New Hampshire?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Explore all colonoscopy cost data
→ See colonoscopy costs across all states
Other New Hampshire Hospitals and ambulatory surgery centers for Colonoscopy
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in New Hampshire. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ACCESS AMBULATORY SURGERY CENTER, LLC
6037757575 |
AUBURN, NH | Ambulatory Surgical Center | $490–$10,410 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AMERICAN PAIN INSTITUTE LLC
6037668500 |
PORTSMOUTH, NH | Clinical Medical Laboratory | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANDROSCOGGIN VALLEY HOSPITAL OB
6037522200 |
BERLIN, NH | Critical Access Hospital | $285–$11,603 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANDROSCOGGIN VALLEY HOSPITAL, INC
6037522200 |
BERLIN, NH | Clinical Medical Laboratory | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANDROSCOGGIN VALLEY HOSPITAL, INC
6037522200 |
BERLIN, NH | Ambulatory Surgical Center | $490–$10,410 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANDROSCOGGIN VALLEY HOSPITAL, INC.
6033265867 |
BERLIN, NH | Critical Access Hospital | $285–$11,603 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ATLANTIC CARDIOLOGY ASSOC
6034335300 |
PORTSMOUTH, NH | Clinical Medical Laboratory | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ATLANTIC COAST SURGICAL SUITES, LLC
6032181793 |
SEABROOK, NH | Ambulatory Surgical Center | $490–$10,410 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ATLANTIC PATHOLOGY, PA
6034334907 |
PORTSMOUTH, NH | Clinical Medical Laboratory | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ATLANTIC PLASTIC SURGERY ASSOCIATES PA
6034318819 |
PORTSMOUTH, NH | Ambulatory Surgical Center | $490–$10,410 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRINGTON SURGICAL CARE LLC
6036640100 |
BARRINGTON, NH | Ambulatory Surgical Center | $490–$10,410 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BEDFORD AMBULATORY SURGICAL CENTER, LLC
6036223670 |
BEDFORD, NH | Ambulatory Surgical Center | $490–$10,410 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
Where You Get a Colonoscopy Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Hospital Outpatient Department
Hospital Outpatient Department typically carries a higher price for a colonoscopy. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.
Ambulatory Surgery Center
Ambulatory Surgery Center typically carries a mid-range price for a colonoscopy. Typically 40–60% less than hospital OP for surgical procedures. Anesthesia billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.
What's Actually on Your Colonoscopy Bill
A colonoscopy involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.
Hospital Outpatient
- Facility Fee
- Gastroenterologist Fee
- Anesthesia — Anesthesiologist bills separately. Common source of surprise bills.
- Pathology (if biopsy) (conditional) — CPT 88305 for polyp specimen. Add only for 45380, 45381, 45385 — not for diagnostic 45378.
Asc
- ASC Facility Fee — Medicare ASC rate is ~$510 diagnostic, ~$657 therapeutic — approximately 46% less than OPPS at facility level.
- Gastroenterologist Fee
- Anesthesia
- Pathology (if biopsy) (conditional)
Colonoscopy Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Screening Colonoscopy
Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. Diagnostic only — no biopsy or polypectomy. ACA-covered at $0 for average-risk adults 45+.
Diagnostic Colonoscopy
Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. Same CPT as screening but billed as diagnostic — cost-sharing applies.
Colonoscopy with Biopsy
Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges.
Colonoscopy with Polypectomy
Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges.
Colonoscopy with Submucosal Injection
Adds a therapeutic step during the procedure, which changes the billing code and can add pathology charges.
Covered at $0 — But Only If It Stays a Screening
Under the ACA (§2713), preventive services — including colonoscopy for average-risk adults — must be covered at $0 with no cost-sharing when performed by an in-network provider.
The risk: Screening colonoscopy is covered at $0 under the ACA. If polyps are removed during the same procedure, it converts to a diagnostic colonoscopy and cost-sharing applies.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Colonoscopy is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP, ASC for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Watch for Separate Bills from These Providers
A colonoscopy involves multiple providers: the facility, the operating physician, and often Anesthesia, Pathology (if biopsy). These providers bill independently — and each one may or may not be in your network, even if the facility is.
Action step: Before your procedure, ask the facility coordinator to confirm that all participating providers are in-network on your plan. The No Surprises Act (2022) protects you from unexpected out-of-network bills in many scenarios — but not all. Request a Good Faith Estimate (GFE) if you ask for one.
Who performs this: Colonoscopy is typically performed by a Gastroenterology or Colorectal Surgery. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
Colonoscopy billing is more complex than most procedures — and most patients find out after the fact.
The free toolkit shows you:
- ✓ Which 3–4 separate bills typically arrive (and which to dispute)
- ✓ Why anesthesia is often billed out-of-network even at in-network facilities
- ✓ The exact questions to ask before you schedule — that can cut your bill 30–50%
- ✓ What insurance actually covers vs. what they hope you won't notice
- ✓ A real patient billing breakdown, line by line
Free for patients — takes 30 seconds to get.
We'll email it to you immediately. No account required, no spam.
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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