Home › Hospitals › New London Hospital Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,371
$3,000
1.4×
Upper GI endoscopy (EGD) with biopsy (43239) $1,369.17
$2,996
1.4×
Diagnostic colonoscopy (45378) $1,965.10
$4,300
2.0×
Colonoscopy with biopsy (45380) $1,965.10
$4,300
1.5×
Colonoscopy with lesion removal (45385) $2,376.40
$5,200
1.9×
Epidural injection, lumbar/sacral (with imaging) (62322) $460.66
$1,008
0.5×
Transforaminal epidural injection, lumbar/sacral (64483) $505.44
$1,106
0.5×
CT head/brain without contrast (70450) $914
$2,000
8.2×
MRI brain without contrast (70551) $1,185.46
$2,594
4.7×
MRI brain with contrast (70552) $1,767.68
$3,868
4.7×
MRI brain without and with contrast (70553) $2,349.44
$5,141
6.3×
X-ray lower spine, 4+ views (72110) $185.08
$405
1.7×
MRI lumbar spine without contrast (72148) $1,382.42
$3,025
5.4×
CT pelvis with contrast (72193) $1,133.82
$2,481
6.1×
MRI lower-extremity joint without contrast (73721) $1,259.49
$2,756
4.9×
CT abdomen and pelvis with contrast (74177) $1,919.40
$4,200
5.2×
Ultrasound, abdomen complete (76700) $423.64
$927
3.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $434.15
$950
3.9×
Ultrasound, transvaginal (76830) $412.21
$902
3.7×
Mammography, one breast (diagnostic) (77065) $439.18
$961
5.1×
Mammography, both breasts (diagnostic) (77066) $560.74
$1,227
5.1×
Mammography, screening (bilateral) (77067) $463.86
$1,015
5.1×
Basic metabolic panel (80048) $37.02
$81
4.4×
Comprehensive metabolic panel (80053) $45.70
$100
4.3×
Lipid panel (80061) $58.50
$128
4.4×
Renal function panel (80069) $49.36
$108
5.7×
Hepatic function panel (80076) $36.10
$79
4.4×
Urinalysis, non-automated, without microscopy (81002) $11.42
$25
3.3×
PSA, total (84153) $91.86
$201
5.0×
Thyroid stimulating hormone (TSH) (84443) $36.34
$79.50
2.2×
CBC with automated differential (85025) $42.50
$93
5.5×
CBC, automated (85027) $27.88
$61
4.3×
Prothrombin time (PT) (85610) $21.02
$46
4.9×
Partial thromboplastin time (PTT) (85730) $29.25
$64
4.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $67.18
$147
2.3×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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