Childbirth Cost in New Hampshire (2026): Average Prices & What You'll Pay
What does a childbirth cost in New Hampshire?
A typical childbirth in New Hampshire costs $5,233–$12,449 for a commercially insured patient, including facility and physician fees. The median reported facility price across 21 hospitals is $1,454. This estimate is based 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. Childbirth costs are driven by delivery type and length of stay: vaginal deliveries average $5,000–$11,000 and C-sections $7,500–$14,500 before insurance, with facility fees dominating the bill. Most commercial plans cover labor and delivery after the deductible, but anesthesia (especially epidurals) and newborn care are often billed separately by different providers. Pre-authorizing the birth facility and confirming all attending providers are in-network before delivery avoids the most common billing surprises.
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Example: two commercially insured patients in North Conway could pay ~$1,153 and ~$1,569 for the identical procedure - a $416 difference driven entirely by facility choice.
Where childbirth 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.
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Cheapest Childbirth Providers in New Hampshire
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Speare Memorial Hospital | Plymouth, NH | $607 | -$847 |
| 2 | VALLEY REGIONAL HOSPITAL | Claremont, NH | $613 | -$841 |
| 3 | The New London Hospital Association, Inc. | NH | $769 | -$685 |
| 4 | Huggins Hospital | Wolfeboro, NH | $887 | -$567 |
| 5 | MaineHealth | North Conway, NH | $1,146 | -$308 |
| 6 | CATHOLIC MEDICAL CENTER | Manchester, NH | $1,164 | -$290 |
| 7 | Monadnock Community Hospital | Peterborough, NH | $1,237 | -$217 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Speare Memorial Hospital is the lowest-cost option at $607 - $847 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,454, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
How where you go changes what you pay for childbirth
The same childbirth 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 $513–$3,456
- Professional fee $131–$10,612
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $513–$2,059
- Professional fee $131–$10,612
Estimated from CMS fee schedules + commercial rate multipliers
New Hampshire Childbirth 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.
How we calculate "Your Price"
We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | MaineHealth | North Conway, NH | $1,146 | -$308 | $1,146–$4,186 |
| #2 | Cheshire Medical Center | Keene, NH | $1,647 | +$193 | $5,968–$12,789 |
| #3 | Mary Hitchcock Memorial Hospital | Lebanon, NH | $2,059 | +$605 | $6,730–$15,868 |
| #4 | Speare Memorial Hospital | Plymouth, NH | $1,906 | +$452 | $444–$8,638 |
| #5 | VALLEY REGIONAL HOSPITAL | Claremont, NH | $613 | -$841 | $111–$4,591 |
| #6 | The New London Hospital Association, Inc. | NH | $1,387 | -$67 | $3,037 |
| #7 | Huggins Hospital | Wolfeboro, NH | $887 | -$567 | $1,774–$5,015 |
| #8 | CATHOLIC MEDICAL CENTER | Manchester, NH | $1,164 | -$290 | $1,164–$4,158 |
| #9 | Monadnock Community Hospital | Peterborough, NH | $1,237 | -$217 | $2,063–$3,717 |
| #10 | Cottage Hospital | Woodsville, NH | $1,599 | +$145 | $3,198 |
| #11 | FRISBIE MEMORIAL HOSPITAL | Rochester, NH | $1,450 | -$4 | $1,450–$22,781 |
| #12 | Northeast Rehabilitation Hospital | Salem, NH | $1,454 | +$0 | $1,454–$3,456 |
| #13 | Littleton Regional Healthcare | Littleton, NH | $1,528 | +$74 | $2,636 |
| #14 | PARKLAND MEDICAL CENTER | Derry, NH | $1,540 | +$86 | $1,540–$30,943 |
| #15 | PLAISTOW FSER | Plaistow, NH | $1,540 | +$86 | $1,540–$30,943 |
| #16 | DOVER EMERGENCY ROOM | Dover, NH | $1,569 | +$115 | $1,569–$23,918 |
| #17 | PORTSMOUTH REGIONAL HOSPITAL | Portsmouth, NH | $1,569 | +$115 | $1,569–$23,918 |
| #18 | SEABROOK EMERGENCY | Seabrook, NH | $1,569 | +$115 | $1,569–$23,918 |
| #19 | Southern NH Medical Center | Nashua, NH | $2,846 | +$1,392 | $2,846–$15,774 |
| #20 | Exeter Hospital Inc | Exeter, NH | $3,456 | +$2,002 | $3,456 |
| #21 | Elliot Hospital | Manchester, NH | $3,456 | +$2,002 | $3,456 |
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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.
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Why prices vary - and what it means for your coverage
A small number of hospitals (3) report prices above $2,204, including Exeter Hospital Inc at $3,456, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $1,452 versus $1,458 inpatient, so where a procedure happens often matters more than which hospital you pick.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$8,254 |
| Deductible met - 20% coinsurance | ~$1,651 |
| Out-of-network provider | $18,159+ |
Frequently asked questions: childbirth costs in New Hampshire
How much does a childbirth cost in New Hampshire?
Across 21 New Hampshire hospitals that publish prices, a childbirth ranges from $103 to $55,647, with a median of $1,454. Most facilities fall between $1,146 and $1,569. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a childbirth in New Hampshire?
Based on declared prices, the lowest-cost facility in our New Hampshire data is VALLEY REGIONAL HOSPITAL in Claremont at about $613. By metro, Keene has the lowest median ($1,085). 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 childbirth so much cheaper at some New Hampshire hospitals?
Prices vary up to 540.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Hampshire, the median cash (self-pay) price is $1,454 versus a median negotiated rate of $1,454 - about 1× 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 childbirth 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.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
Other procedures in New Hampshire
Childbirth, elsewhere
Other New Hampshire Hospitals for Childbirth
These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
ANDROSCOGGIN VALLEY HOSPITAL OB
6037522200 |
BERLIN, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ANDROSCOGGIN VALLEY HOSPITAL, INC.
6033265867 |
BERLIN, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CHESHIRE MEDICAL CENTER
6033545454 |
KEENE, NH | General Acute Care Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CONCORD HOSPITAL, INC.
6032307429 |
CONCORD, NH | General Acute Care Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CONCORD HOSPITAL-FRANKLIN
6039342060 |
FRANKLIN, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CONCORD HOSPITAL-FRANKLIN
9039342060 |
FRANKLIN, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CONCORD HOSPITAL-LACONIA
6035243211 |
LACONIA, NH | General Acute Care Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
COTTAGE HOSPITAL
6037479000 |
WOODSVILLE, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
COTTAGE HOSPITAL
6037479000 |
WOODSVILLE, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
COTTAGE HOSPITAL
6037479000 |
WOODSVILLE, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
COTTAGE HOSPITAL
6037479000 |
WOODSVILLE, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
COTTAGE HOSPITAL
6037479000 |
WOODSVILLE, NH | Critical Access Hospital | $644–$14,068 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 28 more New Hampshire hospitals
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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.
What matters before you schedule
What's on your bill
A childbirth involves multiple providers who bill separately - typically Drg Facility Stay, Ob Physician Professional Fee, Epidural Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this childbirth changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
Separate bills
A childbirth involves the facility, the operating physician, and often ancillary providers - each bills independently, and any one of them may be out-of-network even if the facility isn't. The No Surprises Act limits your exposure in many scenarios, but ask the facility to confirm every participating provider is in-network before your visit.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for childbirth before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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