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New Hampshire

Cost of a ER Visit (High) Visit
in New Hampshire

Reviewed by Momentary Medical Group West PC

New Hampshire's healthcare costs run approximately 11% above the national average, reflecting the state's concentrated provider networks and rural access challenges. For a ER Visit (High) visit in New Hampshire, patients typically pay between $149.57 and $446.15, with a median negotiated rate of $284.88 based on current insurer contracts. With over 3,700 active emergency medicine providers across the state, New Hampshire offers extensive coverage for high-severity emergency care, allowing patients to browse providers from major medical centers in Manchester and Nashua to critical access hospitals in the North Country.

Average

$294

Median

$285

Lowest

$150

Highest

$446

Providers

3,728

National avg: $189New Hampshire: $294

55% above national average

Compare Similar Procedures

How does er visit (high severity) compare to related procedures in New Hampshire?

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$59$126$2043,731
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$102$196$3073,735

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99285Emergency department visit, high severity). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 99285 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99285 (Emergency department visit, high severity), as mandated by the CMS Price Transparency Rule.

What CPT 99285 covers: the provider's professional fee for er visit (high severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in New Hampshire

These hospitals in New Hampshire are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
79% would recommend211 patient surveys
4/5
92% would recommend208 patient surveys
4/5
83% would recommend646 patient surveys
4/5
80% would recommend1,885 patient surveys
NEW LONDON HOSPITAL

NEW LONDON, NH

4/5
78% would recommend191 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why ER Visit (High) Visit Costs Vary Across New Hampshire

New Hampshire's healthcare costs run 11% above national averages, driven by the state's rural geography requiring expensive critical access hospitals and limited insurer competition in northern regions. The state's concentrated population in the southeastern corridor creates pricing disparities between urban Manchester-Nashua markets and remote North Country facilities.

Urban vs. Rural Provider Availability

Emergency care access varies dramatically between New Hampshire's urban Seacoast and Lakes regions versus the rural North Country and western mountains. Manchester and Nashua offer multiple emergency departments with specialized trauma capabilities, while rural areas depend on critical access hospitals that may require air transport for complex cases, affecting both availability and cost structures.

Facility Type and Overhead Costs

New Hampshire's emergency care market includes major health systems like Dartmouth-Hitchcock, Catholic Medical Center, and Elliot Health System, alongside independent community hospitals. Hospital-based emergency departments typically charge higher facility fees due to overhead costs for maintaining 24/7 staffing and specialized equipment, while some areas have freestanding emergency centers with lower operational costs.

Insurance Market Competition in New Hampshire

Anthem Blue Cross Blue Shield dominates New Hampshire's individual market, while Harvard Pilgrim and Cigna provide additional options primarily through employer plans. This moderate competition allows insurers reasonable negotiating power with providers, though rural hospitals often have stronger leverage due to limited alternatives for emergency care coverage in their service areas.

Physician Supply and Demand in New Hampshire

With over 3,700 emergency medicine providers statewide, New Hampshire maintains adequate emergency physician coverage relative to its population of 1.4 million residents. This healthy supply-to-demand ratio helps moderate pricing compared to physician shortage states, though recruitment to rural facilities remains challenging and may drive higher compensation packages reflected in emergency care costs.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — ER Visit (High) Costs in New Hampshire

What is the average cost of a ER Visit (High) visit in New Hampshire without insurance?

Uninsured patients in New Hampshire typically pay between $149.57 and $446.15 for high-severity emergency visits, with a median cost of $284.88 based on current negotiated rates. However, most emergency departments offer significant cash-pay discounts of 30-50% for prompt payment, and many New Hampshire hospitals provide charity care programs for qualifying low-income patients that can reduce or eliminate these costs entirely.

Does New Hampshire Medicaid cover ER Visit (High) visits?

Yes, New Hampshire Medicaid covers emergency visits including high-severity care through the expanded NH Health Protection Program. Coverage includes both emergency physician services and facility fees, though patients should present their Medicaid card and may need to complete eligibility verification. Emergency care is covered regardless of which hospital you visit, even if it's outside your usual network.

How do I find an affordable ER Visit (High) near me in New Hampshire?

Compare costs between hospital-based emergency departments and freestanding emergency centers, as rates can vary significantly across facilities. Ask about self-pay discounts if uninsured, consider whether your condition might be appropriately treated at urgent care centers for less serious concerns, and check if community health centers offer after-hours care that might be more affordable than emergency department visits.

What is the difference in cost between an initial consultation and a follow-up visit?

Emergency department visits are typically coded based on complexity and severity rather than initial versus follow-up status, with high-severity visits (CPT 99285) costing between $149.57 and $446.15 regardless of whether it's your first visit. However, if emergency care leads to specialist referrals, follow-up appointments in office settings will be significantly less expensive than repeat emergency visits for the same condition.

Can I use an HSA or FSA to pay for a ER Visit (High) visit in New Hampshire?

Yes, emergency medical care qualifies as an eligible expense for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax funds to pay deductibles, copays, and coinsurance for emergency visits, and even transportation costs like ambulance services are typically eligible HSA/FSA expenses when related to emergency medical care.

How does telemedicine affect the cost of seeing a ER Visit (High) in New Hampshire?

Telemedicine cannot replace high-severity emergency care requiring immediate physical examination, diagnostic testing, or procedures. However, telehealth consultations can help determine whether symptoms warrant emergency department visits versus urgent care or office appointments, potentially preventing unnecessary high-cost emergency visits. New Hampshire expanded telehealth coverage during COVID-19, making remote triage consultations more accessible and affordable.

Click a state to compare costs

Average Visit Cost

$114
$430

Office visit (CPT 99285)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$940
$430
2New Hampshire
Range: $150$446
$294
3Illinois
Range: $80$569
$285
4Iowa
Range: $85$538
$275
5Louisiana
Range: $98$536
$261
6New York
Range: $80$543
$260
7Maine
Range: $170$337
$251
8Nebraska
Range: $123$422
$236
9Washington
Range: $80$379
$224
10Colorado
Range: $80$390
$219
11New Mexico
Range: $88$389
$218
12Wyoming
Range: $88$385
$217
13Vermont
Range: $98$356
$216
14Rhode Island
Range: $80$429
$202
15Massachusetts
Range: $80$428
$202
16Georgia
Range: $85$333
$198
17North Carolina
Range: $80$330
$188
18District of Columbia
Range: $85$305
$185
19Maryland
Range: $88$298
$183
20Michigan
Range: $80$318
$183
21Utah
Range: $80$317
$182
22New Jersey
Range: $60$348
$182
23Ohio
Range: $85$287
$181
24Mississippi
Range: $126$250
$181
25California
Range: $80$374
$181
26Hawaii
Range: $80$313
$179
27Arkansas
Range: $85$282
$178
28Virginia
Range: $88$293
$177
29Tennessee
Range: $85$259
$170
30South Carolina
Range: $80$287
$170
31Missouri
Range: $88$239
$168
32Minnesota
Range: $91$312
$167
33Oklahoma
Range: $85$246
$166
34Kansas
Range: $88$243
$166
35Alabama
Range: $80$257
$160
36Pennsylvania
Range: $55$334
$159
37Arizona
Range: $80$250
$157
38Indiana
Range: $85$298
$157
39West Virginia
Range: $88$281
$155
40Delaware
Range: $85$203
$155
41Kentucky
Range: $80$296
$155
42Nevada
Range: $85$267
$154
43Alaska
Range: $80$292
$151
44Connecticut
Range: $55$320
$148
45Idaho
Range: $80$275
$148
46Oregon
Range: $80$250
$142
47Texas
Range: $80$257
$142
48Montana
Range: $80$213
$124
49North Dakota
Range: $91$177
$122
50South Dakota
Range: $98$161
$119
51Florida
Range: $35$246
$114
ER Visit (High Severity) in Other States