Knee Replacement Cost in New Hampshire (2026): Average Prices & What You'll Pay

What does a knee replacement cost in New Hampshire?

A typical knee replacement in New Hampshire costs $4,543–$20,452 for a commercially insured patient, including facility and physician fees. The median reported facility price across 24 hospitals is $5,662. 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. Knee replacement is a high-cost elective procedure where facility selection has an outsized impact on total cost. Hospital outpatient and ambulatory surgery center rates for knee replacement have converged on outcomes but diverged further on price - ASC rates are typically 30–50% below hospital rates for the same implant and surgeon. Medicare Advantage plans increasingly direct patients to designated bundled-payment facilities where your out-of-pocket liability is capped.

Example: two commercially insured patients in Woodsville could pay ~$2,123 and ~$14,000 for the identical procedure - a $11,877 difference driven entirely by facility choice.

Where knee replacement 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 Knee Replacement Providers in New Hampshire

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

#	Facility	City	Price	vs Median
1	Cheshire Medical Center	Keene, NH	$1,956	-$3,706
2	VALLEY REGIONAL HOSPITAL	Claremont, NH	$2,013	-$3,649
3	MaineHealth	North Conway, NH	$2,035	-$3,627
4	Cottage Hospital	Woodsville, NH	$2,042	-$3,620
5	Mary Hitchcock Memorial Hospital	Lebanon, NH	$2,070	-$3,592
6	Littleton Regional Healthcare	Littleton, NH	$2,146	-$3,516
7	Huggins Hospital	Wolfeboro, NH	$2,266	-$3,396

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

How where you go changes what you pay for knee replacement

The same knee replacement 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

$2,594–$50,517

• Facility fee $1,389–$43,577
• Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient

$1,967–$10,096

• Facility fee $762–$3,156
• Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

New Hampshire Knee Replacement 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 (1) report prices above $31,926, including Concord Hospital at $15,291, 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 $12,601 versus $2,024 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.

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: knee replacement costs in New Hampshire

How much does a knee replacement cost in New Hampshire?

Across 24 New Hampshire hospitals that publish prices, a knee replacement ranges from $520 to $50,970, with a median of $5,662. Most facilities fall between $2,049 and $14,000. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a knee replacement in New Hampshire?

Based on declared prices, the lowest-cost facility in our New Hampshire data is Mary Hitchcock Memorial Hospital in Lebanon at about $762. By metro, Lebanon has the lowest median ($1,416). 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 knee replacement so much cheaper at some New Hampshire hospitals?

Prices vary up to 98× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Hampshire, the median cash (self-pay) price is $12,652 versus a median negotiated rate of $4,459 - about 2.8× 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 a knee replacement 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 and ambulatory surgery centers for Knee Replacement

These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers 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
ACCESS AMBULATORY SURGERY CENTER, LLC 6037757575	AUBURN, NH	Ambulatory Surgical Center	-
ANDROSCOGGIN VALLEY HOSPITAL OB 6037522200	BERLIN, NH	Critical Access Hospital	$2,594–$50,517 bundled est.
ANDROSCOGGIN VALLEY HOSPITAL, INC 6037522200	BERLIN, NH	Ambulatory Surgical Center	-
ANDROSCOGGIN VALLEY HOSPITAL, INC. 6033265867	BERLIN, NH	Critical Access Hospital	$2,594–$50,517 bundled est.
ATLANTIC COAST SURGICAL SUITES, LLC 6032181793	SEABROOK, NH	Ambulatory Surgical Center	-
ATLANTIC PLASTIC SURGERY ASSOCIATES PA 6034318819	PORTSMOUTH, NH	Ambulatory Surgical Center	-
BARRINGTON SURGICAL CARE LLC 6036640100	BARRINGTON, NH	Ambulatory Surgical Center	-
BEDFORD AMBULATORY SURGICAL CENTER, LLC 6036223670	BEDFORD, NH	Ambulatory Surgical Center	-
CAPITAL ORTHOPEDIC SURGERY CENTER 6032287211	CONCORD, NH	Ambulatory Surgical Center	-
CAPITAL ORTHOPEDIC SURGERY CENTER, LLC 6034256966	DERRY, NH	Ambulatory Surgical Center	-
CENTERS FOR PAIN SOLUTIONS,LLC 6035773003	NASHUA, NH	Ambulatory Surgical Center	-
CHESHIRE MEDICAL CENTER 6033545454	KEENE, NH	General Acute Care Hospital	$2,594–$50,517 bundled est.
▼ Show 74 more New Hampshire hospitals and ambulatory surgery centers COASTAL SURGICAL CENTER, LLC 5613303381 NEWINGTON, NH Ambulatory Surgical Center - COLLABORATIVE ANESTHESIA PARTNERS 3343186537 FARMINGTON, NH Ambulatory Surgical Center - CONCORD AMBULATORY SURGERY CENTER, LLC 6034159460 CONCORD, NH Ambulatory Surgical Center - CONCORD EYE SURGERY LLC 6032246503 CONCORD, NH Ambulatory Surgical Center - CONCORD HOSPITAL, INC. 6032307429 CONCORD, NH General Acute Care Hospital $2,594–$50,517 bundled est. CONCORD HOSPITAL-FRANKLIN 6039342060 FRANKLIN, NH Critical Access Hospital $2,594–$50,517 bundled est. CONCORD HOSPITAL-FRANKLIN 9039342060 FRANKLIN, NH Critical Access Hospital $2,594–$50,517 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $2,594–$50,517 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $2,594–$50,517 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $2,594–$50,517 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $2,594–$50,517 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $2,594–$50,517 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $2,594–$50,517 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $2,594–$50,517 bundled est. DANA-FARBER CANCER INSTITUTE, INC. 6176323000 LONDONDERRY, NH General Acute Care Hospital $2,594–$50,517 bundled est. DARTMOUTH HITCHCOCK PSYCHIATRIC ASSOCIATES 6036508741 LEBANON, NH General Acute Care Hospital $2,594–$50,517 bundled est. DEPARTMENT OF VETERANS AFFAIRS 6032162557 DERRY, NH Long Term Care Hospital $2,594–$50,517 bundled est. DERRY SURGERY CENTER LP 6035372060 DERRY, NH Ambulatory Surgical Center - DERRY SURGICAL CENTER, LLC 8339460896 DERRY, NH Ambulatory Surgical Center - DUNNING ST. AMBULATORY CARE CENTER, LLC 6035433501 CLAREMONT, NH Ambulatory Surgical Center - ELLIOT 1 DAY SURGERY CENTER 6036633000 MANCHESTER, NH Ambulatory Surgical Center - ELLIOT HOSPITAL OF THE CITY OF MANCHESTER 6036632431 MANCHESTER, NH General Acute Care Hospital $2,594–$50,517 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE INC 6034321500 DERRY, NH General Acute Care Hospital $2,594–$50,517 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC. 6034321500 DERRY, NH General Acute Care Hospital $2,594–$50,517 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC. 6034365110 PORTSMOUTH, NH General Acute Care Hospital $2,594–$50,517 bundled est. HILLSIDE ASC LLC 6035277514 GILFORD, NH Ambulatory Surgical Center - HUGGINS HOSPITAL 6035697500 WOLFEBORO, NH Critical Access Hospital $2,594–$50,517 bundled est. HUGGINS HOSPITAL 6035697500 WOLFEBORO, NH Critical Access Hospital $2,594–$50,517 bundled est. LIGHTHOUSE SURGICAL SUITES, LLC 6037241638 HOLLIS, NH Ambulatory Surgical Center - LITTLETON HOSPITAL ASSOCIATION 6034449565 LITTLETON, NH Ambulatory Surgical Center - LITTLETON REGIONAL HOSPITAL 6036362877 STARK, NH Critical Access Hospital $2,594–$50,517 bundled est. LRG HEALTHCARE 6035245151 LACONIA, NH Ambulatory Surgical Center - LRGH REHABILITATION SERVICES 6035242852 BELMONT, NH General Acute Care Hospital $2,594–$50,517 bundled est. LRGHEALTHCARE 6039342060 FRANKLIN, NH Ambulatory Surgical Center - LRGHEALTHCARE 6035248660 LACONIA, NH Ambulatory Surgical Center - LRGHEALTHCARE 6035247514 GILFORD, NH Ambulatory Surgical Center - LRGHEALTHCARE 6035243211 LACONIA, NH Ambulatory Surgical Center - MANCHESTER HEALTH SERVICES, LLC 6036638785 MANCHESTER, NH General Acute Care Hospital $2,594–$50,517 bundled est. MANCHESTER VAMC 7172776565 MANCHESTER, NH General Acute Care Hospital $2,594–$50,517 bundled est. MASS GENERAL BRIGHAM AMSURG INC. 8572828001 SALEM, NH Ambulatory Surgical Center - MEMORIAL HOSPITAL 6033565461 NORTH CONWAY, NH Critical Access Hospital $2,594–$50,517 bundled est. MONADNOCK COMMUNITY HOSPITAL 6039247191 PETERBOROUGH, NH Critical Access Hospital $2,594–$50,517 bundled est. NEW LONDON HOSPITAL INC 6035265544 NEW LONDON, NH General Acute Care Hospital $2,594–$50,517 bundled est. NORTH ATLANTIC SURGICAL SUITES, LLC 6033860272 SALEM, NH Ambulatory Surgical Center - NORTH COUNTRY ENDOSCOPY LLC 6034440272 LITTLETON, NH Ambulatory Surgical Center - NORTHEAST SURGICAL CARE OF NEWINGTON, LLC 6034315563 NEWINGTON, NH Ambulatory Surgical Center - NORTHRIDGE SURGICAL SUITES, LLC 6034907338 NASHUA, NH Ambulatory Surgical Center - NOVAMED SURGERY CENTER OF BEDFORD, LLC 6036279540 BEDFORD, NH Ambulatory Surgical Center - NOVAMED SURGERY CENTER OF NASHUA, LLC 6038829800 NASHUA, NH Ambulatory Surgical Center - NSLIJ HEALTH SYSTEM 3472061532 DOVER, NH General Acute Care Hospital $2,594–$50,517 bundled est. ORCHARD SURGICAL CENTER, LLC 6034016466 SALEM, NH Ambulatory Surgical Center - PAIN SURGERY CENTER LIMITED LIABILITY COMPANY 6037789921 NEWINGTON, NH Ambulatory Surgical Center - PARADIGM CLINICAL ASSOCIATES LLC 6037722076 STRATHAM, NH Ambulatory Surgical Center - PLASTIC SURGERY PA 6036690290 MANCHESTER, NH Ambulatory Surgical Center - PMC SURGICAL CENTER, LLC 6034248866 MERRIMACK, NH Ambulatory Surgical Center - PMC SURGICAL CENTER, LLC 6036923166 SOMERSWORTH, NH Ambulatory Surgical Center - PORTSMOUTH SURGICENTER, LLC 6033686220 PORTSMOUTH, NH Ambulatory Surgical Center - RICHARD L. ZEFF MD PA 6037757444 STRATHAM, NH Ambulatory Surgical Center - RYE SURGICAL CENTER, LLC 6033191581 RYE, NH Ambulatory Surgical Center - SAINT CLARES HOSPITAL 9736257009 DENVILLE, NH General Acute Care Hospital $2,594–$50,517 bundled est. SJH SURGICENTER, LLC 6038823000 NASHUA, NH Ambulatory Surgical Center - SKYHAVEN SURGERY CENTER LLC 6033308987 ROCHESTER, NH Ambulatory Surgical Center - SOUTHERN NEW HAMPSHIRE MEDICAL CENTER 6035772000 NASHUA, NH General Acute Care Hospital $2,594–$50,517 bundled est. SPEARE MEMORIAL HOSPITAL 6035361120 PLYMOUTH, NH General Acute Care Hospital $2,594–$50,517 bundled est. SPEARE MEMORIAL HOSPITAL 6035361120 PLYMOUTH, NH Critical Access Hospital $2,594–$50,517 bundled est. STATE OF NEW HAMPSHIRE 6037465979 CONCORD, NH General Acute Care Hospital $2,594–$50,517 bundled est. THE SURGERY CENTER OF GREATER NASHUA 6035772000 NASHUA, NH Ambulatory Surgical Center - UPPER CONNECTICUT VALLEY HOSPITAL 6032374971 COLEBROOK, NH Ambulatory Surgical Center - UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION 6032374971 COLEBROOK, NH Critical Access Hospital $2,594–$50,517 bundled est. WEEKS MEDICAL CENTER 6037884911 LANCASTER, NH Critical Access Hospital $2,594–$50,517 bundled est. WEEKS MEDICAL CENTER 6037884911 LANCASTER, NH Ambulatory Surgical Center - WENTWORTH DOUGLASS HOSPITAL 6036096819 PORTSMOUTH, NH General Acute Care Hospital $2,594–$50,517 bundled est. WENTWORTH SURGERY CENTER, LLC 6032859288 SOMERSWORTH, NH Ambulatory Surgical Center - WENTWORTH-DOUGLASS HOSPITAL 6036108070 PORTSMOUTH, NH General Acute Care Hospital $2,594–$50,517 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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