83/100
#256 nationally
Cheshire Medical Center
580 Court Street, Keene, NH 03431 · (603) 354-5400
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Cheshire Medical Center billed $3.02 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.0x
- volume-weighted across all its priced work
- Procedures priced
- 58
- inpatient and outpatient combined
- Rank in NH
- #1
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 84% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 78% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
573 | $10,398 | $2,218 | -12% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
337 | $1,549 | $652 | -51% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
263 | $21,518 | $2,593 | +11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
153 | $8,070 | $1,534 | -20% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
133 | $38,183 | $18,356 | -41% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
122 | $5,718 | $1,953 | -56% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
121 | $34,477 | $12,328 | -45% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
105 | $6,676 | $1,816 | -41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
88 | $34,029 | $12,101 | -22% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
81 | $10,775 | $1,806 | -8% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$21,518 | $2,593 | +11% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$10,775 | $1,806 | -8% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$10,398 | $2,218 | -12% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$33,252 | $8,145 | -12% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$20,257 | $3,655 | -15% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,070 | $1,534 | -20% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$25,333 | $7,747 | -20% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$13,186 | $2,691 | -20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$1,219 | $1,462 | -81% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$2,697 | $1,627 | -76% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$62,128 | $39,284 | -65% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$30,574 | $16,474 | -57% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$77,360 | $42,090 | -57% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$5,718 | $1,953 | -56% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$52,160 | $27,024 | -56% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$36,338 | $17,626 | -55% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.