Billing and Charges

We appreciate your choosing Cheshire Medical Center for your health care needs. We understand medical bills can be confusing, so we work hard to make your billing process smooth and easy to understand.

Cheshire Medical Center is a member of the Dartmouth-Hitchcock Health (D-HH), so billing and financial assistance are handled through D-HH. However, Cheshire offers some assistance programs through our Center for Population Health, like Family Resource Counseling and Medication Assistance, described below. 

Call D-HH's Billing Customer Service team for questions: 844-808-0730.

How to pay your bill 

We accept payments made by cash, check, money order, or credit card (Visa, MasterCard, American Express, and Discover). Make your payments:

  • Online: Use your myD-H account to make credit card payments and manage payment plans.
  • By phone: Call our secure line at 844-808-0730.
  • In-person at Cheshire Medical Center: Visit our cashier, next to Registration in our Main Lobby.
  • By mail: Use the return envelope that came with your billing statement to make a payment by check, money order, or credit card and mail it to: 

    Dartmouth-Hitchcock
    P.O. Box 419114
    Boston, MA 02241-9065

D-HH will provide you with one bill for your services. This covers services provided by the hospital, such as your room and board charge and nursing care. It may also include services ordered by your provider such as X-rays, laboratory tests, medical supplies, and oxygen. 

If you take part in a diagnostic imaging test, like an ultrasound or X-ray, you may receive two separate bills. One is for technical services (the test), and the other is for professional services (a physician's reading of the resulting image). Cheshire Medical Center contracts radiology services to Radiology Associates of Keene, which accepts payment directly.

For more information on D-HH billing, please visit:

Insurance information

The insurance plans Cheshire Medical Center accepts differ slightly from those accepted by D-HH. Find out which insurance plans Cheshire Medical Center accepts.

Referrals and precertifications

Many insurance companies require a referral from your primary care provider or a precertification over the phone before they will cover certain services. Learn more about referrals and precertifications.

Cheshire Medical Center assistance

Family resource counseling

Our family resource counselors can help you apply for financial aid or insurance, or help you make ends meet while paying for health care. They can help you even if you don’t have children. The counselors can meet you here at Cheshire Medical Center or elsewhere in our community. 

Find out how family resource counseling can help you.

Medication assistance

If you struggle to pay for your medication, our medication assistance program could help. If you are worried you may have to miss a dose of your medication because you can’t afford it, please call us. 

Find out how medication assistance can help you.

Fee estimates for services at Cheshire

Cheshire Medical Center charges differently from D-HH for some services and procedures.

Find out the estimated charge for common services provided at Cheshire Medical Center.

Dartmouth-Hitchcock Health financial assistance

Many of Cheshire Medical Center’s patients are eligible for Financial Assistance from D-HH. To find out whether your medical bills could be reduced, visit D-HH Financial Assistance.