New Hampshire / Cheshire Medical Center
CMS certification 300019 · Keene, NH · 4 entries in CMS's price-transparency list
Cheshire Medical Center: charges and Medicare payments
Cheshire Medical Center reported 752 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 2.33 times what it was paid — among the lower ratios in New Hampshire, number 13 of 13 hospitals with at least 100 stays (state median 3.54×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 133 stays at an average charge of $38,183, 58% below the national average. It also billed 2,452 outpatient services, charging 4.93 times what Medicare paid.
- 1Medicare inpatient stays 752
- 2Charge ÷ paid, inpatient 2.33×
- 3Rank in NH (highest ratio = 1) 13 of 13
- 4CMS price-transparency actions 4
Inpatient stays
For the 31 DRGs that can be compared with the national average, Cheshire Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 133 | $38,183 | -58% | $18,356 |
| 291 Heart Failure and Shock with MCC | 88 | $34,029 | -40% | $12,101 |
| 193 Simple Pneumonia and Pleurisy with MCC | 60 | $27,723 | -54% | $12,439 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $37,138 | -47% | $16,233 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $26,767 | -54% | $11,631 |
| 682 Renal Failure with MCC | 22 | $34,837 | -47% | $13,756 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $28,386 | -42% | $9,572 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $16,656 | -54% | $7,393 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $30,574 | -64% | $16,474 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $48,954 | -51% | $19,351 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $24,949 | -38% | $8,621 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $28,254 | -42% | $9,890 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $28,294 | -49% | $9,282 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $42,518 | -44% | $15,824 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $37,301 | -63% | $17,950 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 15 | $53,095 | -43% | $17,590 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $28,457 | -61% | $15,306 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $25,333 | -34% | $7,747 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $67,295 | -50% | $25,169 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $28,988 | -52% | $12,266 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $77,360 | -66% | $42,090 |
| 196 Interstitial Lung Disease with MCC | 12 | $36,338 | -58% | $17,626 |
| 439 Disorders of Pancreas except Malignancy with CC | 12 | $20,995 | -52% | $8,122 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $52,160 | -62% | $27,024 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 12 | $42,750 | -51% | $18,282 |
| 637 Diabetes with MCC | 12 | $43,133 | -35% | $13,821 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $21,915 | -41% | $7,365 |
| 683 Renal Failure with CC | 12 | $23,803 | -42% | $8,390 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $62,128 | -71% | $39,284 |
| 603 Cellulitis without MCC | 11 | $22,497 | -40% | $8,973 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 11 | $35,023 | -53% | $14,578 |
Outpatient services
Against the New Hampshire average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cheshire Medical Center charged $38,183 on average, 39% less than the New Hampshire average of $62,580, and was paid $18,356 against a state average of $17,104. For Heart Failure and Shock with MCC (DRG 291), Cheshire Medical Center charged $34,029 on average, 15% less than the New Hampshire average of $39,842, and was paid $12,101 against a state average of $11,075. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cheshire Medical Center charged $27,723 on average, 31% less than the New Hampshire average of $40,443, and was paid $12,439 against a state average of $11,445. For Respiratory Infections and Inflammations with MCC (DRG 177), Cheshire Medical Center charged $37,138 on average, 22% less than the New Hampshire average of $47,583, and was paid $16,233 against a state average of $14,409. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,398 was 10% below the state average of $11,493. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,549 was 51% below the state average of $3,190. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,518 was 4% above the state average of $20,649. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,070 was 17% below the state average of $9,741.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cheshire Medical Center in Keene, NH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-12-27 (CMS case 1094)
- Closure Notice — 2023-04-14 (CMS case 1094)
- Warning Notice — 2024-11-06 (CMS case 2891)
- Closure Notice — 2025-02-12 (CMS case 2891)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.