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 $520 to $1,388 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 $432. It's built from CMS fee schedules and federally mandated hospital price transparency data.
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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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One ER visit typically generates 3–5 separate bills. Most patients learn this weeks later.
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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 | Cottage Hospital | Woodsville, NH | $405 | -$27 |
| 2 | FRISBIE MEMORIAL HOSPITAL | Rochester, NH | $416 | -$16 |
| 3 | DOVER EMERGENCY ROOM | Dover, NH | $416 | -$16 |
| 4 | PORTSMOUTH REGIONAL HOSPITAL | Portsmouth, NH | $416 | -$16 |
| 5 | SEABROOK EMERGENCY | Seabrook, NH | $416 | -$16 |
| 6 | PLAISTOW FSER | Plaistow, NH | $426 | -$6 |
| 7 | PARKLAND MEDICAL CENTER | Derry, NH | $426 | -$6 |
| 8 | VALLEY REGIONAL HOSPITAL | Claremont, NH | $432 | +$0 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Cottage Hospital is the lowest-cost option at $1,185 - $67 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 $438, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
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.
- Facility fee $160–$276
- Professional fee $17–$832
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $170–$276
- Professional fee $17–$832
Estimated from CMS fee schedules + commercial rate multipliers
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.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $432 versus $405 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.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$868 |
| Deductible met - 20% coinsurance | ~$174 |
| Out-of-network provider | $1,910+ |
Frequently asked questions: emergency room visit costs in New Hampshire
How much does an emergency room visit cost in New Hampshire?
The typical insurer-negotiated rate is $91, with most facilities between $64 and $160 (based on 16 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $50 to $13,172 across all 19 New Hampshire hospitals that publish prices. 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 Monadnock Community Hospital in Peterborough at about $68. 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 $438 versus a median negotiated rate of $91 - about 4.8× 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.
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
- How to read a Medicare Summary Notice
Other procedures in New Hampshire
Emergency Room Visit, elsewhere
What matters before you schedule
What's on your bill
A emergency room visit involves multiple providers who bill separately - typically ED Facility Fee, Emergency Physician Professional Fee, Labs. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this emergency room visit 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 emergency room visit 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 emergency room visit 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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