Emergency Room Visit Cost in New Hampshire (2026): Average Prices & What You'll Pay

What does a emergency room visit cost in New Hampshire?

Expect roughly $266 to $460 for an emergency room visit in New Hampshire if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 19 hospitals is $169. It's built from CMS fee schedules and federally mandated hospital price transparency data.

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. Emergency room costs are driven by two separate charges: the facility fee (which varies by ER level, E1–E5) and the physician fee (billed by an independent emergency medicine group). Most patients are unaware that ER physicians are frequently out-of-network even when the hospital itself is in-network - the No Surprises Act limits your liability in this case, but billing disputes still occur. Using an urgent care center for non-emergency conditions typically costs 80–90% less than an ER visit for equivalent care.

Example: two commercially insured patients in North Conway could pay ~$162 and ~$184 for the identical procedure - a $22 difference driven entirely by facility choice.

Where emergency room visit 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 Emergency Room Visit Providers in New Hampshire

Based on declared cash/self-pay prices from CMS hospital price transparency files.

#	Facility	City	Price	vs Median
1	Littleton Regional Healthcare	Littleton, NH	$160	-$9
2	PARKLAND MEDICAL CENTER	Derry, NH	$160	-$9
3	PLAISTOW FSER	Plaistow, NH	$160	-$9
4	FRISBIE MEMORIAL HOSPITAL	Rochester, NH	$161	-$8
5	DOVER EMERGENCY ROOM	Dover, NH	$161	-$8
6	SEABROOK EMERGENCY	Seabrook, NH	$161	-$8
7	PORTSMOUTH REGIONAL HOSPITAL	Portsmouth, NH	$161	-$8
8	Elliot Hospital	Manchester, NH	$163	-$6

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

How where you go changes what you pay for emergency room visit

The same emergency room visit 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

$177–$1,108

• Facility fee $160–$276
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient

$187–$1,108

• Facility fee $170–$276
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

New Hampshire Emergency Room Visit 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.

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 (2) report prices above $224, including Cottage Hospital at $255, 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 $168 versus $191 inpatient, so where a procedure happens often matters more than which hospital you pick. Facility fees for emergency care scale with the severity level the hospital assigns your visit, which is why two visits that look similar from the exam table can bill very differently.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Frequently asked questions: emergency room visit costs in New Hampshire

How much does an emergency room visit cost in New Hampshire?

Across 19 New Hampshire hospitals that publish prices, an emergency room visit ranges from $50 to $13,172, with a median of $169. Most facilities fall between $161 and $184. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an emergency room visit in New Hampshire?

Based on declared prices, the lowest-cost facility in our New Hampshire data is Littleton Regional Healthcare in Littleton at about $160. By metro, Plymouth has the lowest median ($185). 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 an emergency room visit so much cheaper at some New Hampshire hospitals?

Prices vary up to 263.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Hampshire, the median cash (self-pay) price is $169 versus a median negotiated rate of $91 - about 1.9× 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 an emergency room visit 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.

Other New Hampshire Hospitals for Emergency Room Visit

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	$177–$1,108 bundled est.
ANDROSCOGGIN VALLEY HOSPITAL, INC. 6033265867	BERLIN, NH	Critical Access Hospital	$177–$1,108 bundled est.
CATHOLIC MEDICAL CENTER 6036683545	MANCHESTER, NH	General Acute Care Hospital	$177–$1,108 bundled est.
CHESHIRE MEDICAL CENTER 6033545454	KEENE, NH	General Acute Care Hospital	$177–$1,108 bundled est.
CONCORD HOSPITAL, INC. 6032307429	CONCORD, NH	General Acute Care Hospital	$177–$1,108 bundled est.
CONCORD HOSPITAL-FRANKLIN 6039342060	FRANKLIN, NH	Critical Access Hospital	$177–$1,108 bundled est.
CONCORD HOSPITAL-FRANKLIN 9039342060	FRANKLIN, NH	Critical Access Hospital	$177–$1,108 bundled est.
CONCORD HOSPITAL-LACONIA 6035243211	LACONIA, NH	General Acute Care Hospital	$177–$1,108 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$177–$1,108 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$177–$1,108 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$177–$1,108 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$177–$1,108 bundled est.
▼ Show 29 more New Hampshire hospitals COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $177–$1,108 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $177–$1,108 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $177–$1,108 bundled est. DANA-FARBER CANCER INSTITUTE, INC. 6176323000 LONDONDERRY, NH General Acute Care Hospital $177–$1,108 bundled est. DARTMOUTH HITCHCOCK PSYCHIATRIC ASSOCIATES 6036508741 LEBANON, NH General Acute Care Hospital $177–$1,108 bundled est. DEPARTMENT OF VETERANS AFFAIRS 6032162557 DERRY, NH Long Term Care Hospital $177–$1,108 bundled est. ELLIOT HOSPITAL OF THE CITY OF MANCHESTER 6036632431 MANCHESTER, NH General Acute Care Hospital $177–$1,108 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE INC 6034321500 DERRY, NH General Acute Care Hospital $177–$1,108 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC. 6034321500 DERRY, NH General Acute Care Hospital $177–$1,108 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC. 6034365110 PORTSMOUTH, NH General Acute Care Hospital $177–$1,108 bundled est. HUGGINS HOSPITAL 6035697500 WOLFEBORO, NH Critical Access Hospital $177–$1,108 bundled est. HUGGINS HOSPITAL 6035697500 WOLFEBORO, NH Critical Access Hospital $177–$1,108 bundled est. LITTLETON REGIONAL HOSPITAL 6036362877 STARK, NH Critical Access Hospital $177–$1,108 bundled est. LRGH REHABILITATION SERVICES 6035242852 BELMONT, NH General Acute Care Hospital $177–$1,108 bundled est. MANCHESTER HEALTH SERVICES, LLC 6036638785 MANCHESTER, NH General Acute Care Hospital $177–$1,108 bundled est. MANCHESTER VAMC 7172776565 MANCHESTER, NH General Acute Care Hospital $177–$1,108 bundled est. MEMORIAL HOSPITAL 6033565461 NORTH CONWAY, NH Critical Access Hospital $177–$1,108 bundled est. MONADNOCK COMMUNITY HOSPITAL 6039247191 PETERBOROUGH, NH Critical Access Hospital $177–$1,108 bundled est. NEW LONDON HOSPITAL INC 6035265544 NEW LONDON, NH General Acute Care Hospital $177–$1,108 bundled est. NSLIJ HEALTH SYSTEM 3472061532 DOVER, NH General Acute Care Hospital $177–$1,108 bundled est. SAINT CLARES HOSPITAL 9736257009 DENVILLE, NH General Acute Care Hospital $177–$1,108 bundled est. SOUTHERN NEW HAMPSHIRE MEDICAL CENTER 6035772000 NASHUA, NH General Acute Care Hospital $177–$1,108 bundled est. SPEARE MEMORIAL HOSPITAL 6035361120 PLYMOUTH, NH General Acute Care Hospital $177–$1,108 bundled est. SPEARE MEMORIAL HOSPITAL 6035361120 PLYMOUTH, NH Critical Access Hospital $177–$1,108 bundled est. STATE OF NEW HAMPSHIRE 6037465979 CONCORD, NH General Acute Care Hospital $177–$1,108 bundled est. UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION 6032374971 COLEBROOK, NH Critical Access Hospital $177–$1,108 bundled est. WEEKS MEDICAL CENTER 6037884911 LANCASTER, NH Critical Access Hospital $177–$1,108 bundled est. WENTWORTH DOUGLASS HOSPITAL 6036096819 PORTSMOUTH, NH General Acute Care Hospital $177–$1,108 bundled est. WENTWORTH-DOUGLASS HOSPITAL 6036108070 PORTSMOUTH, NH General Acute Care Hospital $177–$1,108 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.

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