Charges for Services

Average charges are estimates; your out-of-pocket expense will depend on your individual insurance coverage (such as co-insurance or deductibles).

While Cheshire Medical Center (CMC) now encompasses both our hospital’s inpatient services and outpatient clinics that used to be known as Dartmouth-Hitchcock Keene (DHK), some of our billing charges remain separate. 

Uninsured patients are eligible for a 60.4% reduction of charges with DHK and a 64.3% reduction with Cheshire Medical Center. 

Questions? Please call Dartmouth-Hitchcock Health Patient Financial Services at 844-647-6436.

These charges represent those of DHK and CMC. There may be additional charges from other providers, such as radiologists and anesthesiologists, depending on the services you receive.

Estimates valid between July 1, 2020 and June 30, 2021

Choose a visit type:

Telemedicine services COVID-19 emergency period

New patient

Type of visit Facility charge Professional charge Total charge
Low-level visit (10 min) N/A $161 $161
Low-to-moderate-level visit (20 min) N/A $272 $272
Moderate-level visit (30 min) N/A $359 $359
Moderate-to-high-level visit (45 min) N/A $542 $542
High-level visit (60 min) N/A $681 $681

Established patient

Type of visit Facility charge Professional charge Total charge
Low-to-moderate-level visit (10 min) N/A $167 $167
Moderate-level visit (15 min) N/A $234 $234
Moderate-to-high-level visit (25 min) N/A $357 $357
High-level visit (40 min) N/A $510 $510

Consultation

Type of visit Facility charge Professional charge Total charge
Low-level visit (15 min) N/A $319 $319
Low-to-moderate-level visit (30 min) N/A $415 $415
Moderate-level visit (40 min) N/A $528 $528
Moderate-to-high-level visit (60 min) N/A $739 $739
High-level visit (80 min) N/A $949 $949

Doctor's office visit for a new patient

Doctor's office visit for a new patient
(first visit or patients not seen within the past three years)
  DHK professional charges CMC hospital charges Total charge
Level 1* $53 $108 $161
Level 2* $109 $163 $272
Level 3* $161 $198 $359
Level 4* $231 $312 $543
Level 5* $316 $365 $681

*The complexity level of your visit is based on the nature of your condition, paperwork, examination and counseling time. Actual level is assigned after your visit.

Doctor's office visit for an established patient

Doctor's office visit for an established patient (return visit for follow-up)
  DHK professional charges CMC hospital charges Total charge
Level 1* $13 $94 $107
Level 2* $37 $131 $168
Level 3* $83 $152 $235
Level 4* $129 $228 $357
Level 5* $219 $292 $511

*The complexity level of your visit is based on the nature of your condition, paperwork, examination, and counseling time. The actual level is assigned after your visit.

Doctor's office visit for consultation

Doctor's office visit for consultation
(examination and coordination between health care providers)
  DHK professional charges CMC hospital charges Total charge
Level 1* $281    $38 $319
Level 2* $338 $77 $415
Level 3* $419 $109 $528
Level 4* $564 $175 $739
Level 5* $733 $215 $948

*The complexity level of your visit is based on the nature of your condition, paperwork, examination, and counseling time. The actual level is assigned after your visit.

Routine annual physical for new patient

Routine annual physical for new patient
(charge is based on age groups and does not include diagnostic testing)
  DHK professional charges CMC hospital charges Total charge
Age 0-1 $162 $222 $384
Age 1-4 $173 $232 $405
Age 5-11 $166 $259 $425
Age 12-17 $179 $299 $478
Age 18-39 $179 $299 $478
Age 40-64 $226 $318 $544
Age 65 and up $246 $339 $585

Routine annual physical for established patient

Routine annual physical for established patient
(charge is based on age groups and does not include diagnostic testing)
  DHK professional charges CMC hospital charges Total charge
Age 0-1 $130 $172 $302
Age 1-4 $156 $167 $323
Age 5-11 $141 $183 $324
Age 12-17 $173 $213 $386
Age 18-39 $144 $276 $420
Age 40-64 $166 $293 $459
Age 65 and up $200 $308 $508

Eye exams (ophthalmology)

Eye exams (ophthalmology)
  DHK professional charges CMC hospital charges Total charge
New patient comprehensive* $182 $202 $384
New patient intermediate* $68 $187 $255
Established patient comprehensive* $160 $142 $302
Established patient intermediate* $78 $129 $207
Eye refraction $23 $55 $78

*Definition of new or established patient: "A new patient is one who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice within the last three years."

Emergency care services

Emergency care services
(unscheduled emergency visit for patients requiring immediate medical attention)
Charges do not include diagnostic testing such as lab services or X-rays. Charges do not include medications or observation charges. Call 603-354-5454 x4444 for more information.
  Professional charges CMC hospital charges Total charge
Level 1* $111 $230 $341
Level 2* $177 $398 $575
Level 3* $278 $693 $971
Level 4* $486 $1,121 $1,607
Level 5* $735 $1,632 $2,367

*The complexity level of your visit is based on the nature of your condition, paperwork, examination, and counseling time. The actual level is assigned after your visit.

Maternity care

Maternity care
  DHK professional Charges CMC hospital charges Total charge
Vaginal delivery $7,721 $13,488 $21,209
Newborn care $435 $3,727 $4,162
Cesarean section $8,621 $17,978 $26,599
Tubal ligation w/c-section $913 $227 $1,140
Discharge hospital $301 $0 $301
Circumcision $1,046 $3,269 $4,315
Level I OB ultrasound $272 $471 $743
Newborn hearing test (pass/fail) $71 $140 $211

Please note: All labs and ultrasounds are billed on a monthly basis as each patient's requirements differ. These fees are current and may change during the course of your pregnancy due to increases. Additional fees may be charged depending on the care required during your delivery. If these services are provided by anyone other than a Dartmouth-Hitchcock physician you will receive a bill from them. That provider will determine these fees. Please note that if you do not deliver at the Cheshire Medical Center you will be billed for any office visits you have had. Managed Care patients will be billed for any co-payments relating to office visits.

Colonoscopy, upper gastrointestinal endoscopy and sigmoidoscopy

Colonoscopy, upper gastrointestinal endoscopy and sigmoidoscopy
  DHK professional charges CMC hospital charges Total charge
Colonoscopy, flexible* $2,476 $5,125 $7,601
Colonoscopy, with removal by snare technique* $3,730 $6,834 $10,564
Colonoscopy, flexible with biopsy* $2,951 $6,975 $9,926
Sigmoidoscopy, flexible* $788 $5,470 $6,258
Upper gastrointestinal endoscopy with biopsy* $2,340 $6,159 $8,499

*Estimates do not include pathology testing or interpreting.

Cheshire Medical Center is a charitable health care organization. We will treat patients who come to us for medically necessary care, regardless of their financial status. We offer financial assistance for these services—in the form of free or discounted care—to those patients who may have an inability to pay their bills. If you have any questions, would like an application for assistance or need to make payment arrangements, please contact Patient Financial Services at 844-647-6436, Monday through Friday, 8:00 am to 4:00 pm.


Hospital List of Standard Charges (XLSX)
The information provided is a comprehensive list of charges for each inpatient and outpatient service or item provided by a hospital, also known as a chargemaster, which Cheshire Medical Center posts on an annual basis. Standard charges shown in the chargemaster do not necessarily reflect what a patient ultimately pays for services and therefore may not be a meaningful tool to estimate a patient’s out-of-pocket responsibility or to compare hospital costs. Actual charges may differ for a variety of reasons and Cheshire Medical Center does not hereby offer, promise, contract, guarantee, or assume any legally binding obligation to provide a selected service(s) or item(s) for the listed charge(s).

Because the chargemaster rates are updated periodically, patients should contact our patient financial services staff at 844-647-6436 for information about the cost of care.

Hospital Median Charges (XLSX)
The information provided is a comprehensive list of diagnosis-related group (DRG) charges provided at Cheshire Medical Center and the average charges associated with each. Every inpatient stay is unique based on patient needs, diagnosis, and level of care needed, and therefore charges relate to inpatient stays can differ on an individual patient basis. This list does not necessarily reflect what a patient ultimately pays for services and therefore may not be a helpful tool to estimate out-of-pocket responsibility or to compare hospital costs. Actual charges may differ for a variety of reasons and Cheshire does not hereby offer, promise, contract, guarantee or assume any legally binding obligation to provide a selected service(s) or item(s) for the listed charge(s). Patients are encouraged to contact Cheshire Medical Center patient financial services staff at 844-647-6436 for information about the cost of your care.