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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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Childbirth savings calculator for New Hampshire Comparison of the market's highest reported price versus its median price for Childbirth in New Hampshire. WHAT SHOPPING THIS PRICE IS WORTH Childbirth Cost in New Hampshire WITHOUT PRICE-CHECKING $55,647 highest reported price in this market WITH THE EXPECTED-RANGE VIEW $1,454 the market median price POTENTIAL DIFFERENCE $54,193 avoided (38.3x the median)

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.

Hospital (below avg) Hospital (above avg) Click a pin for details.

See every New Hampshire hospital's price

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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.

Hospital Outpatient
$644–$14,068
  • Facility fee $513–$3,456
  • Professional fee $131–$10,612

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$644–$12,671
  • 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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We'll email you the full New Hampshire price list as a PDF. Sourced from CMS files. No spam.

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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

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
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.
DANA-FARBER CANCER INSTITUTE, INC.
6176323000
LONDONDERRY, NH General Acute Care Hospital $644–$14,068 bundled est.
DARTMOUTH HITCHCOCK PSYCHIATRIC ASSOCIATES
6036508741
LEBANON, NH General Acute Care Hospital $644–$14,068 bundled est.
DEPARTMENT OF VETERANS AFFAIRS
6032162557
DERRY, NH Long Term Care Hospital $644–$14,068 bundled est.
ELLIOT HOSPITAL OF THE CITY OF MANCHESTER
6036632431
MANCHESTER, NH General Acute Care Hospital $644–$14,068 bundled est.
HCA HEALTH SERVICES OF NEW HAMPSHIRE INC
6034321500
DERRY, NH General Acute Care Hospital $644–$14,068 bundled est.
HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.
6034321500
DERRY, NH General Acute Care Hospital $644–$14,068 bundled est.
HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC.
6034365110
PORTSMOUTH, NH General Acute Care Hospital $644–$14,068 bundled est.
HUGGINS HOSPITAL
6035697500
WOLFEBORO, NH Critical Access Hospital $644–$14,068 bundled est.
HUGGINS HOSPITAL
6035697500
WOLFEBORO, NH Critical Access Hospital $644–$14,068 bundled est.
LITTLETON REGIONAL HOSPITAL
6036362877
STARK, NH Critical Access Hospital $644–$14,068 bundled est.
LRGH REHABILITATION SERVICES
6035242852
BELMONT, NH General Acute Care Hospital $644–$14,068 bundled est.
MANCHESTER HEALTH SERVICES, LLC
6036638785
MANCHESTER, NH General Acute Care Hospital $644–$14,068 bundled est.
MANCHESTER VAMC
7172776565
MANCHESTER, NH General Acute Care Hospital $644–$14,068 bundled est.
MEMORIAL HOSPITAL
6033565461
NORTH CONWAY, NH Critical Access Hospital $644–$14,068 bundled est.
MONADNOCK COMMUNITY HOSPITAL
6039247191
PETERBOROUGH, NH Critical Access Hospital $644–$14,068 bundled est.
NEW LONDON HOSPITAL INC
6035265544
NEW LONDON, NH General Acute Care Hospital $644–$14,068 bundled est.
NSLIJ HEALTH SYSTEM
3472061532
DOVER, NH General Acute Care Hospital $644–$14,068 bundled est.
SAINT CLARES HOSPITAL
9736257009
DENVILLE, NH General Acute Care Hospital $644–$14,068 bundled est.
SOUTHERN NEW HAMPSHIRE MEDICAL CENTER
6035772000
NASHUA, NH General Acute Care Hospital $644–$14,068 bundled est.
SPEARE MEMORIAL HOSPITAL
6035361120
PLYMOUTH, NH General Acute Care Hospital $644–$14,068 bundled est.
SPEARE MEMORIAL HOSPITAL
6035361120
PLYMOUTH, NH Critical Access Hospital $644–$14,068 bundled est.
STATE OF NEW HAMPSHIRE
6037465979
CONCORD, NH General Acute Care Hospital $644–$14,068 bundled est.
UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION
6032374971
COLEBROOK, NH Critical Access Hospital $644–$14,068 bundled est.
WEEKS MEDICAL CENTER
6037884911
LANCASTER, NH Critical Access Hospital $644–$14,068 bundled est.
WENTWORTH DOUGLASS HOSPITAL
6036096819
PORTSMOUTH, NH General Acute Care Hospital $644–$14,068 bundled est.
WENTWORTH-DOUGLASS HOSPITAL
6036108070
PORTSMOUTH, NH General Acute Care Hospital $644–$14,068 bundled est.

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).

Other Procedure Costs in New Hampshire

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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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Published July 17, 2026

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