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

What does a spinal fusion cost in New Hampshire?

A typical spinal fusion in New Hampshire costs $7,082–$19,464 for a commercially insured patient, including facility and physician fees. The median reported facility price across 19 hospitals is $5,177. 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. Spinal fusion is among the highest-cost elective surgeries, with total episode costs (implant hardware, facility, anesthesia, and post-acute care) commonly exceeding $50,000 for multi-level procedures. The implant components alone can account for $15,000–$40,000 of the facility charge, and prices vary dramatically across hospitals for identical hardware. Seeking a second surgical opinion and confirming bundled vs. itemized billing before scheduling are the most impactful steps you can take.

Example: two commercially insured patients in North Conway could pay ~$3,965 and ~$11,152 for the identical procedure - a $7,187 difference driven entirely by facility choice.

Where spinal fusion 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 Spinal Fusion Providers in New Hampshire

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

#	Facility	City	Price	vs Median
1	Mary Hitchcock Memorial Hospital	Lebanon, NH	$3,175	-$2,002
2	CATHOLIC MEDICAL CENTER	Manchester, NH	$3,476	-$1,701
3	FRISBIE MEMORIAL HOSPITAL	Rochester, NH	$3,609	-$1,568
4	Northeast Rehabilitation Hospital	Salem, NH	$3,758	-$1,419
5	PARKLAND MEDICAL CENTER	Derry, NH	$3,965	-$1,212
6	PLAISTOW FSER	Plaistow, NH	$3,965	-$1,212
7	Cheshire Medical Center	Keene, NH	$4,554	-$623

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

How where you go changes what you pay for spinal fusion

The same spinal fusion 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

$3,585–$51,361

• Facility fee $3,016–$43,577
• Professional fee $569–$7,784

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient

$3,585–$12,961

• Facility fee $3,016–$5,177
• Professional fee $569–$7,784

Estimated from CMS fee schedules + commercial rate multipliers

New Hampshire Spinal Fusion 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 (5) report prices above $23,278, including Exeter Hospital Inc at $13,708, 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 $10,058 versus $3,965 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.

Frequently asked questions: spinal fusion costs in New Hampshire

How much does a spinal fusion cost in New Hampshire?

Across 19 New Hampshire hospitals that publish prices, a spinal fusion ranges from $1,031 to $104,095, with a median of $5,177. Most facilities fall between $3,758 and $11,152. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a spinal fusion in New Hampshire?

Based on declared prices, the lowest-cost facility in our New Hampshire data is MaineHealth in North Conway at about $3,016. By metro, Lebanon has the lowest median ($3,270). 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 spinal fusion so much cheaper at some New Hampshire hospitals?

Prices vary up to 101× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Hampshire, the median cash (self-pay) price is $5,177 versus a median negotiated rate of $4,602 - about 1.1× 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 spinal fusion 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 Spinal Fusion

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	$3,585–$51,361 bundled est.
ANDROSCOGGIN VALLEY HOSPITAL, INC. 6033265867	BERLIN, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
CHESHIRE MEDICAL CENTER 6033545454	KEENE, NH	General Acute Care Hospital	$3,585–$51,361 bundled est.
CONCORD HOSPITAL, INC. 6032307429	CONCORD, NH	General Acute Care Hospital	$3,585–$51,361 bundled est.
CONCORD HOSPITAL-FRANKLIN 6039342060	FRANKLIN, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
CONCORD HOSPITAL-FRANKLIN 9039342060	FRANKLIN, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
CONCORD HOSPITAL-LACONIA 6035243211	LACONIA, NH	General Acute Care Hospital	$3,585–$51,361 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
COTTAGE HOSPITAL 6037479000	WOODSVILLE, NH	Critical Access Hospital	$3,585–$51,361 bundled est.
▼ Show 28 more New Hampshire hospitals COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $3,585–$51,361 bundled est. COTTAGE HOSPITAL 6037479000 WOODSVILLE, NH Critical Access Hospital $3,585–$51,361 bundled est. DANA-FARBER CANCER INSTITUTE, INC. 6176323000 LONDONDERRY, NH General Acute Care Hospital $3,585–$51,361 bundled est. DARTMOUTH HITCHCOCK PSYCHIATRIC ASSOCIATES 6036508741 LEBANON, NH General Acute Care Hospital $3,585–$51,361 bundled est. DEPARTMENT OF VETERANS AFFAIRS 6032162557 DERRY, NH Long Term Care Hospital $3,585–$51,361 bundled est. ELLIOT HOSPITAL OF THE CITY OF MANCHESTER 6036632431 MANCHESTER, NH General Acute Care Hospital $3,585–$51,361 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE INC 6034321500 DERRY, NH General Acute Care Hospital $3,585–$51,361 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC. 6034321500 DERRY, NH General Acute Care Hospital $3,585–$51,361 bundled est. HCA HEALTH SERVICES OF NEW HAMPSHIRE, INC. 6034365110 PORTSMOUTH, NH General Acute Care Hospital $3,585–$51,361 bundled est. HUGGINS HOSPITAL 6035697500 WOLFEBORO, NH Critical Access Hospital $3,585–$51,361 bundled est. HUGGINS HOSPITAL 6035697500 WOLFEBORO, NH Critical Access Hospital $3,585–$51,361 bundled est. LITTLETON REGIONAL HOSPITAL 6036362877 STARK, NH Critical Access Hospital $3,585–$51,361 bundled est. LRGH REHABILITATION SERVICES 6035242852 BELMONT, NH General Acute Care Hospital $3,585–$51,361 bundled est. MANCHESTER HEALTH SERVICES, LLC 6036638785 MANCHESTER, NH General Acute Care Hospital $3,585–$51,361 bundled est. MANCHESTER VAMC 7172776565 MANCHESTER, NH General Acute Care Hospital $3,585–$51,361 bundled est. MEMORIAL HOSPITAL 6033565461 NORTH CONWAY, NH Critical Access Hospital $3,585–$51,361 bundled est. MONADNOCK COMMUNITY HOSPITAL 6039247191 PETERBOROUGH, NH Critical Access Hospital $3,585–$51,361 bundled est. NEW LONDON HOSPITAL INC 6035265544 NEW LONDON, NH General Acute Care Hospital $3,585–$51,361 bundled est. NSLIJ HEALTH SYSTEM 3472061532 DOVER, NH General Acute Care Hospital $3,585–$51,361 bundled est. SAINT CLARES HOSPITAL 9736257009 DENVILLE, NH General Acute Care Hospital $3,585–$51,361 bundled est. SOUTHERN NEW HAMPSHIRE MEDICAL CENTER 6035772000 NASHUA, NH General Acute Care Hospital $3,585–$51,361 bundled est. SPEARE MEMORIAL HOSPITAL 6035361120 PLYMOUTH, NH General Acute Care Hospital $3,585–$51,361 bundled est. SPEARE MEMORIAL HOSPITAL 6035361120 PLYMOUTH, NH Critical Access Hospital $3,585–$51,361 bundled est. STATE OF NEW HAMPSHIRE 6037465979 CONCORD, NH General Acute Care Hospital $3,585–$51,361 bundled est. UPPER CONNECTICUT VALLEY HOSPITAL ASSOCIATION 6032374971 COLEBROOK, NH Critical Access Hospital $3,585–$51,361 bundled est. WEEKS MEDICAL CENTER 6037884911 LANCASTER, NH Critical Access Hospital $3,585–$51,361 bundled est. WENTWORTH DOUGLASS HOSPITAL 6036096819 PORTSMOUTH, NH General Acute Care Hospital $3,585–$51,361 bundled est. WENTWORTH-DOUGLASS HOSPITAL 6036108070 PORTSMOUTH, NH General Acute Care Hospital $3,585–$51,361 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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