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County Price & Affordability Audit 3 of 5 Hospitals Priced Pop. 91,759 $84,021 Median Income

Grafton County, NH Hospital Rates

Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 5 mapped hospitals in Grafton County.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.79×vs. Fair Market Price
Position vs. 1.00× Fair Price+79% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +79% above the fair benchmark (1.79×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Grafton County Affordability & CoverageSummarizes local hospital price disclosure compliance in Grafton County, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.3 of 5 Hospitals Priced
Hospitals Priced3 of 5Number of CMS-certified hospitals located inside Grafton County that have published machine-readable price files out of all 5 local facilities.
Median Income$84.0k / yrU.S. Census ACS median annual household income in Grafton County ($84,021/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate6.0%Percentage of Grafton County residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.

Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.

County Hospital Pricing & Affordability Audit3 of 5 Local Hospitals Priced

Grafton County, NH Hospital Price & Affordability Summary

Grafton County, New Hampshire (pop. 91,759) has 5 CMS-certified hospitals (3 publishing verified machine-readable price files) with a local price index of 1.79× the U.S. fair price benchmark and a $84,021 median household income.

County Price Index: 1.79× Fair MarketMedian Income: $84,021/yr
Advantage

Best Value & Patient Protections in Grafton County

  • 3 of 5 hospitals in Grafton County publish verified 45 CFR § 180 price files (Speare Memorial Hospital, Mary Hitchcock Memorial Hospital, Alice Peck Day Memorial Hospital).
  • High-rated local clinical care: Cottage Hospital (4/5 CMS Stars) and Alice Peck Day Memorial Hospital (4/5 CMS Stars).
  • Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for Grafton County families earning up to $128,600/yr (400% FPL).
Watchout

Where Grafton County Patients Get Burned (Billing Watchouts)

  • 2 facilities in Grafton County (Littleton Regional Healthcare, Cottage Hospital) lack an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
  • With a 6.0% local uninsured rate and $84,021 median household income, an unnegotiated $5,000 hospital bill equals 3.1 weeks of typical Grafton County family take-home pay.
  • Emergency department and inpatient ancillary charges vary significantly across New Hampshire counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage60% Published
3 of 5 Hospitals

Includes Speare Memorial Hospital & Mary Hitchcock Memorial Hospital.

Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300

Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.

Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr

4-person household income cap qualifying for statutory AGB billing limits in Grafton County.

New Hampshire County Price & Affordability Heatmap 8 of 10 Counties with MRF Hospital Data

New Hampshire County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 10 counties in New Hampshire

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup

All Hospitals in Grafton County (5)

Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.

MRF Compliance: 3 of 5 Published

Compare Procedure Prices Across All New Hampshire Hospitals

View statewide surgical, imaging, colonoscopy, and ER price rankings across all New Hampshire facilities.

Browse All New Hampshire Hospitals & Procedures →