Charges for Services

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 New London Hospital 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 New London Hospital does not hereby offer, promise, contract, guarantee, or assume any legally binding obligation to provide a selected service(s) or item(s) for listed charge(s).

Because the chargemaster rates are updated periodically, patients should use one of the below methods to receive an estimate:

  • Contact Customer Service at 844-808-0730 for information about cost of care.
  • Use myD-H to receive an estimate.

To access myD-H estimates:

Hospital list of standard charges

Helpful downloads:

Medical charges

More about health costs

Learn more about health costs on the New Hampshire Hospital Association website.

New London Hospital is providing this price list containing some of our charges for room and board, emergency department, ambulance, rehabilitation services, office visits, consults, and annual physicals. This information is for the patient to receive basic, facility-specific information about services and charges.

Medicare and Medicaid cover medically necessary services. Medicare does not cover convenience items or self-administered pharmacy for outpatient, observation, or ambulatory surgery.

  • Hospital charges are the same for all patients, but a patient’s financial responsibility may vary, depending on the terms negotiated with individual health insurance companies.
  • Uninsured patients should consult with our Financial Counselors to determine whether they qualify for financial assistance.

These prices are effective as of July 1, 2021. None of these prices include additional ancillary services or procedures ordered by your provider, such as radiology tests or labs, or additional procedures or testing done during the visit.

Doctor’s office visits for new or established patients

Type of visit New patient charge Established patient charge
Low-level visit   $78.00
Low-to-moderate-level visit $176.00 $103.00
Moderate-level visit $265.00 $147.00
Moderate-to-high-level visit $343.00 $230.00
High-level visit $436.00 $303.00

Doctor’s office visit for consultation

Type of visit New or established patient charge
Low-level visit $238.00
Low-to-moderate-level visit $320.00
Moderate-level visit $407.00
Moderate-to-high-level visit $552.00
High-level visit $737.00

Routine annual physicals

Type of visit New patient charge Established patient charge
Physical: patient age 0 to 1 $302.00 $227.00
Physical: patient age 1 to 4 $324.00 $252.00
Physical: patient age 5 to 11 $324.00 $252.00
Physical: patient age 12 to 17 $344.00 $320.00
Physical: patient age 18 to 39 $344.00 $324.00
Physical: patient age 40 to 64 $409.00 $385.00
Physical: patient age 65 and over $507.00 $423.00

Hospital room and board

Rate type Charge per day
Private room rate $1,431.00
Telemetry bed $2,151.00
Special care room rate $3,159.00
Swing private room rate $1,163.00

Emergency Department (unscheduled emergency visit for patients requiring immediate medical attention)

Emergency Department (ED) charges are based on the level of emergency care provided to our patients. The levels, with 1 representing basic emergency care, reflect the type of accommodations needed, the intensity of care, amount of time needed to provide treatment, and personnel resources. The following charges do not include fees for drugs, supplies, or additional ancillary procedures that may be required for particular emergency treatment.

Emergency Department technical level

Visit type Charge
ED level 1 $237.00
ED level 2 $355.00
ED level 3 $597.00
ED level 4 $895.00
ED level 5 $1,218.00
ED critical care $1,548.00

Emergency Department physician fee

Visit type Charge
ED level 1 $134.00
ED level 2 $196.00
ED level 3 $295.00
ED level 4 $451.00
ED level 5 $679.00
ED critical care $728.00

Ambulance

Ambulance rate emergency

Rate type Charge
Ambulance rate emergency $1,421.00
Ambulance rate non-emergency $823.00
Ambulance loaded mile $43.00

Rehabilitation services

Type of visit Charge
Physical therapy evaluation: moderate complexity $349.00
Re-evaluation of physical therapy established plan of care $188.00
Occupational therapy evaluation: moderate complexity $376.00
Re-evaluation of occupational therapy established plan of care $215.00
Physical therapy manual therapy, per 15 minutes $157.00
Physical therapy therapeutic exercises, per 15 minutes $141.00
Evaluation of speech sound production $289.00
Evaluation of speech sound production with evaluation of language comprehension and expression $397.00

COVID-19

COVID-19 Testing

Type of visit Charge
Sars-Cov-2 (COVID-19) test $150.00
COVID-19 IgG antibody test $54.00

COVID-19 Vaccine and Administration

Type of visit Facility charge Professional charge Total charge
Vaccine (no charge) $0 N/A $0
Administration dose 1 N/A $64.00 $64.00
Administration dose 2 N/A $64.00 $64.00