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 $4,556–$20,189 for a commercially insured patient, including facility and physician fees. The median reported facility price across 24 hospitals is $5,498. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.
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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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A knee replacement is four separate bills - and physical therapy, the longest of any joint replacement, is billed per visit.
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- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
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- ✓ How physical therapy is billed - per visit, often for months - and the plan limits to confirm first
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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 | -$3,542 |
| 2 | VALLEY REGIONAL HOSPITAL | Claremont, NH | $2,013 | -$3,485 |
| 3 | MaineHealth | North Conway, NH | $2,035 | -$3,463 |
| 4 | Cottage Hospital | Woodsville, NH | $2,042 | -$3,456 |
| 5 | Littleton Regional Healthcare | Littleton, NH | $2,146 | -$3,352 |
| 6 | Huggins Hospital | Wolfeboro, NH | $2,266 | -$3,232 |
| 7 | Monadnock Community Hospital | Peterborough, NH | $2,771 | -$2,727 |
| 8 | Northeast Rehabilitation Hospital | Salem, NH | $2,868 | -$2,630 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Cheshire Medical Center is the lowest-cost option at $1,956 - $3,542 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 $12,652, 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 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.
- Facility fee $1,389–$43,577
- Professional fee $1,205–$6,940
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $762–$3,156
- Professional fee $1,205–$6,940
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. 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.
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Why prices vary - and what it means for your coverage
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.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$9,530 |
| Deductible met - 20% coinsurance | ~$1,906 |
| Out-of-network provider | $20,966+ |
Frequently asked questions: knee replacement costs in New Hampshire
How much does a knee replacement cost in New Hampshire?
The typical insurer-negotiated rate is $6,262, with most facilities between $1,333 and $13,796 (based on 20 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $615 to $50,970 across all 24 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 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, Manchester has the lowest median ($10,774). 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 82.9× 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 $6,262 - about 2× 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.
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
- Understanding your UnitedHealthcare EOB
Other procedures in New Hampshire
Knee Replacement, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same knee replacement - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A knee replacement involves multiple providers who bill separately - typically ASC Facility Fee, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this knee replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
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 knee replacement 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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