New Hampshire law allows abortion through 24 weeks of pregnancy as measured from the last menstrual period, with exceptions after that point for the life and health of the patient and for lethal fetal anomalies, according to KFF's Status of State Abortion Bans tracker updated April 27, 2026. In February 2026 the New Hampshire House Judiciary Committee voted 13 to 4 against a bill that would have limited abortion to 20 weeks, and Governor Kelly Ayotte has said she would veto further restrictions. New Hampshire therefore remains one of the few states in the region without an early gestational ban, though patients should confirm current law with a provider because bills are filed every session.
Medication abortion in New Hampshire is widely available by telehealth in 2026. KFF data as of December 2025 shows the state does not require in-person dispensing, does not ban telemedicine for medication abortion, and permits advanced practice clinicians to provide it. Planned Parenthood of Northern New England (PPNNE) operates a virtual health center that mails pills to New Hampshire residents up to 12 weeks for a listed price of $555 in 2026, and national telehealth providers such as Hey Jane and Carafem list New Hampshire prices of roughly $299 to $499. In-person care is offered through PPNNE health centers and independent clinics such as Equality Health Center in Concord. Later procedures can require travel to a neighboring state, which adds lodging and transport to the total cost.
New Hampshire abortion cost in 2026 depends on method, gestational age, and billing site, and the sections below cover each driver. Coverage rules for Original Medicare, Medicare Advantage, Medigap, NH Medicaid, and ACA-compliant plans appear next, followed by a step-by-step guide to requesting a Good Faith Estimate under the No Surprises Act. Income-based discounts at clinics and Federally Qualified Health Centers use the federal poverty level, so the linked 2026 chart is the place to check thresholds. KFF publishes state-level abortion coverage data at kff.org, and CMS maintains the federal No Surprises Act resources at cms.gov/nosurprisesact.
Abortion in New Hampshire Cost by Site of Service in 2026
The biggest cost driver of Abortion in New Hampshire is the site of service: where the procedure is performed. 2026 CMS price transparency data confirms a 2-3x billing differential between independent centers and hospital outpatient departments.
Abortion in New Hampshire prices without insurance vs. 2026 Medicare rates| Site of Service | Range Without Insurance | 2026 Medicare Rate |
|---|
| Telehealth medication abortion (pills by mail, up to 12 weeks) | $299 to $555 | Not covered (Hyde exceptions only) |
| Independent clinic or Planned Parenthood health center (in-person pill visit) | $400 to $700 | Not covered (Hyde exceptions only) |
| Independent clinic (surgical, first trimester) | $600 to $1,000 | Not covered (Hyde exceptions only) |
| Independent clinic (surgical, second trimester) | $1,000 to $2,600 | Not covered (Hyde exceptions only) |
| Hospital outpatient department (surgical, any trimester) | $1,500 to $5,000+ | Not covered (Hyde exceptions only) |
2026 New Hampshire price ranges combine published telehealth listings (Planned Parenthood of Northern New England, Hey Jane, Carafem), national abortion-cost data, and FAIR Health Consumer benchmarks. In-clinic and hospital ranges are typical estimates and vary by provider and week of pregnancy; confirm with a written Good Faith Estimate. Medicare and NH Medicaid cover abortion in 2026 only under Hyde Amendment exceptions.
Source: Planned Parenthood Northern New England 2026, Hey Jane and Carafem listings 2026, KFF Abortion Policies 2026, FAIR Health Consumer 2026
Why the Same Procedure Is So Much More at a Hospital
The 2026 New Hampshire abortion cost is driven first by site of service. Independent clinics and Planned Parenthood health centers carry lower overhead than hospital outpatient departments and quote flat self-pay prices. A hospital outpatient department bills a facility fee on top of the physician fee, and its chargemaster list price is the starting point for a self-pay bill. In 2026, the same first-trimester procedure that costs $600 to $1,000 at an independent New Hampshire clinic can reach $1,500 to $3,500 when billed through a hospital, before any self-pay discount. Hospital billing also tends to separate anesthesia, pathology, and ultrasound into distinct line items.
Medication abortion costs less because the clinical encounter is simpler: a consultation, a prescription for mifepristone (HCPCS S0190) and misoprostol (S0191), and a follow-up check. HCPCS S0199 describes the medical services bundle for a medically induced abortion by oral medication, and the drugs are priced separately in some billing systems. Telehealth providers serving New Hampshire residents list $299 to $555 in 2026 for the complete service, which is why the telehealth row is the lowest in the table. Patients beyond roughly 12 weeks are not eligible for pills by mail and move to the in-clinic rows.
Cash-paying New Hampshire patients should compare quotes before scheduling. Planned Parenthood of Northern New England and independent clinics offer sliding-scale fees tied to income, and national abortion funds can cover part of a bill. Federally Qualified Health Centers in New Hampshire use sliding fees by household size, but not every FQHC provides abortion care, so a call ahead is needed. Income-based thresholds follow the federal poverty level, which is $15,650 for a household of one in 2026.
New Hampshire Abortion Cost by Method and Gestational Age in 2026
New Hampshire abortion cost in 2026 rises with gestational age and depends on whether the patient chooses pills or a procedure. The table shows typical self-pay ranges at independent New Hampshire providers; hospital outpatient billing is often 2 to 3 times higher for surgical care.
Typical cost by variant| Method / Gestational Age | New Hampshire Range (2026) | Key Notes |
|---|
| Medication abortion (pill), up to 12 weeks, telehealth | $299 to $555 | Mifepristone and misoprostol mailed; provider prices vary |
| Medication abortion (pill), up to 11 weeks, in-person | $400 to $700 | Includes visit, ultrasound if needed, and follow-up |
| Surgical (aspiration), first trimester | $600 to $1,000 | Local anesthesia or sedation; pathology may be extra |
| Surgical (D&E), early second trimester | $1,000 to $1,800 | Fewer in-state providers; confirm availability |
| Surgical (D&E), later second trimester | $1,800 to $2,600 | May require out-of-state travel; add lodging and transport |
Ranges are typical 2026 self-pay estimates, not guaranteed prices. Telehealth figures reflect published listings in 2026; in-clinic figures reflect national abortion-cost data. Request an itemized Good Faith Estimate before scheduling.
Source: Planned Parenthood Northern New England 2026, Hey Jane and Carafem 2026, KFF Abortion Policies New Hampshire 2026, FAIR Health Consumer 2026
What Medicare Pays for Abortion in New Hampshire
Original Medicare covers abortion only under the federal Hyde Amendment exceptions: rape, incest, or a pregnancy that endangers the patient's life. Medicare Part B pays 80 percent of the approved amount in those cases and leaves a 20 percent coinsurance after the 2026 Part B deductible of $283, which is why the 2026 Physician Fee Schedule benchmark for elective abortion is shown as $0. Medicare Advantage plans must cover what Original Medicare covers but are not required to cover elective abortion, and Medigap policies pay only the Original Medicare coinsurance for covered services. Abortion is not a USPSTF preventive service, so no preventive zero-cost-sharing rule applies in 2026.
NH Medicaid follows the same federal limits: it pays for abortion only in cases of rape, incest, or life endangerment, and state law bars other Medicaid use for abortion care. Private coverage varies. New Hampshire does not require ACA-compliant plans to cover abortion, and federal premium tax credits cannot pay the portion of a premium attributable to abortion coverage, so some marketplace and employer plans cover it and others do not. Some plans can bring the cost to $0 after the deductible, but a high-deductible plan can leave the patient paying the full negotiated rate in 2026. Check the plan's Summary of Benefits, ask about prior authorization, and compare the in-network cost against the clinic's cash price before choosing which to use.
The No Surprises Act, effective January 1, 2022, gives any uninsured or self-pay patient in New Hampshire the right to a written Good Faith Estimate before an abortion appointment. For an appointment scheduled at least 10 business days out, the provider must furnish the Good Faith Estimate at least 3 business days before service. For an appointment scheduled 3 to 9 business days out, the Good Faith Estimate is due at least 1 business day before service. The estimate must list itemized expected charges, procedure codes, provider name and NPI, and total expected cost. The No Surprises Act has no exemption for reproductive health care. Federal consumer guidance is at cms.gov/nosurprisesact.
To request a Good Faith Estimate for an abortion in New Hampshire in 2026, follow five steps. (1) Call the clinic, telehealth service, or hospital and say you are self-pay or uninsured. (2) Ask for a written Good Faith Estimate that lists the procedure or pill fee, sedation or anesthesia, lab work including Rh typing, ultrasound, and the follow-up visit, with procedure codes. (3) Give your ZIP code, your gestational age, and any planned add-ons such as IV sedation. (4) Confirm the timing: 3 business days before service if the appointment is 10 or more business days out, or 1 business day before if it is 3 to 9 business days out. (5) Keep the written estimate. If the final bill exceeds it by $400 or more, you have 120 days from the bill date to file a patient-provider dispute resolution claim at cms.gov/nosurprisesact.
A Good Faith Estimate for a New Hampshire abortion is not a guaranteed final bill. Common reasons actual charges exceed the estimate include a different gestational age confirmed by ultrasound at the visit, an upgrade from local anesthesia to IV sedation, pathology specimen fees, Rh immunoglobulin for Rh-negative patients, and follow-up visits not listed in the original estimate. If the final bill is $400 or more above the Good Faith Estimate, file a patient-provider dispute resolution claim within 120 days at cms.gov/nosurprisesact. Hospital bills can also arrive in pieces, so ask the billing office whether anesthesia and pathology are billed by separate entities before you pay.
What Factors Affect Cost
- Gestational age: New Hampshire abortion cost in 2026 rises with each additional week in the second trimester. A telehealth pill abortion costs $299 to $555 in 2026, while a later D&E at an independent provider can reach $2,600.
- Method and site of service: pills cost less than aspiration, which costs less than D&E, and independent clinics charge roughly half to one-third of a hospital outpatient department for the same procedure in 2026. Ask whether the provider bills as an independent clinic or a hospital.
- Independent clinic and telehealth cash bundles: New Hampshire telehealth and clinic providers publish flat self-pay prices that bundle the visit, medications or procedure, and basic labs, typically 30 to 60 percent below a hospital chargemaster price. Ask what the all-inclusive cash price is and whether income-based discounts apply.
- Hospital chargemaster discount ask: hospitals commonly publish a self-pay or financial assistance policy offering 20 to 60 percent off the chargemaster rate for uninsured patients. Some apply it automatically and some require a written request, so ask before the appointment and request the discount in writing.
- Sliding-scale clinics and FQHCs: Planned Parenthood of Northern New England and New Hampshire Federally Qualified Health Centers offer fees scaled to household size and income, and patients below 100 percent of the 2026 federal poverty level may pay little or nothing for covered services. Not every FQHC provides abortion, so call first.
- Abortion funds and travel: the National Abortion Federation hotline (1-800-772-9100) and the National Network of Abortion Funds (abortionfunds.org) help patients find financial assistance, and travel or lodging can add hundreds of dollars when a later procedure requires leaving New Hampshire. No state-run New Hampshire abortion screening program exists, and CDC programs such as NBCCEDP do not pay for abortion.
- Insurance status: NH Medicaid pays only for rape, incest, or life endangerment, and many ACA-compliant plan and employer plans cover abortion with a deductible or coinsurance. Compare your 2026 in-network cost against the clinic's cash price, since a high-deductible plan can make cash cheaper. Prior authorization can be required on some plans.
Common Abortion in New Hampshire Billing Errors
Abortion billing in New Hampshire can include unexpected line items, especially at hospitals. Check for these errors before paying any bill in 2026:
- Separate anesthesia bill arriving weeks later: ask whether the anesthesia provider is billed separately, and use No Surprises Act protections if an out-of-network clinician treated you at an in-network facility.
- Pathology fee billed separately: tissue sent for analysis creates a lab bill that should have appeared on the Good Faith Estimate if pathology was expected.
- Hospital facility fee on a freestanding clinic visit: confirm the billing entity matches the physical location, and dispute a hospital outpatient rate for care received at an independent clinic.
- Ultrasound billed twice: an ultrasound used to confirm gestational age should be part of the abortion package, not a second standalone imaging charge.
- Rh typing or Rh immunoglobulin billed as a surprise lab encounter: both are routine and should be listed on the Good Faith Estimate.
Frequently Asked Questions
How much does an abortion cost without insurance in New Hampshire in 2026?
Without insurance in New Hampshire in 2026, a medication abortion by telehealth costs about $299 to $555, with Planned Parenthood of Northern New England listing $555 and national telehealth providers listing $299 to $499. An in-person pill visit runs roughly $400 to $700. First-trimester surgical abortion costs $600 to $1,000 at independent clinics, and second-trimester procedures cost $1,000 to $2,600. Hospital outpatient departments often charge 2 to 3 times more because of facility fees. Request a written itemized Good Faith Estimate before your appointment.
What does Medicare pay for an abortion in 2026?
Original Medicare Part B pays for an abortion in 2026 only under the Hyde Amendment exceptions: rape, incest, or a pregnancy that endangers the patient's life. In those cases Medicare pays 80 percent of the approved amount after the $283 Part B deductible, and the patient owes 20 percent coinsurance, which a Medigap policy may cover. Medicare Advantage plans are not required to cover elective abortion. For elective abortion, the Medicare Physician Fee Schedule payment is $0 in 2026, so New Hampshire patients on Medicare typically pay the clinic's full cash price.
How do I request a Good Faith Estimate for an abortion in New Hampshire?
Call the New Hampshire clinic, telehealth service, or hospital, say you are self-pay or uninsured, and ask for a written Good Faith Estimate listing the procedure or pill fee, sedation, labs, ultrasound, and follow-up with codes. Give your ZIP code and gestational age. The estimate is due 3 business days before service if the appointment is 10 or more business days out, or 1 business day before if it is 3 to 9 business days out. Keep it. If the final bill exceeds it by $400 or more, file a dispute within 120 days at cms.gov/nosurprisesact.
What is the No Surprises Act and does it apply to abortion in New Hampshire?
The No Surprises Act took effect January 1, 2022, and applies to providers and facilities nationwide, including New Hampshire clinics and hospitals that provide abortion care. It requires a written Good Faith Estimate for uninsured and self-pay patients before scheduled care, and it limits out-of-network surprise bills at in-network facilities for insured patients. The law contains no exemption for reproductive health services. Medicare and Medicaid have their own separate protections. Federal consumer guidance is at cms.gov/nosurprisesact and healthcare.gov.
How do I get a written cash-pay quote for an abortion in New Hampshire?
Call the provider before scheduling and say: 'I am paying out of pocket. What is your all-inclusive cash price for this method at my gestational age?' Ask whether the price includes sedation, labs, ultrasound, and follow-up, and whether income-based discounts apply. Ask for the quote in writing as a Good Faith Estimate. Telehealth services publish prices online, and Planned Parenthood of Northern New England and independent clinics can quote by phone. Compare the cash price with your plan's deductible and coinsurance before choosing how to pay.
Can I negotiate an abortion bill after the fact in New Hampshire?
Yes. If the final bill exceeds your written Good Faith Estimate by $400 or more, you can file a patient-provider dispute resolution claim within 120 days of the bill date at cms.gov/nosurprisesact. Even without an overage, many providers accept a cash-pay-now offer, often 20 to 40 percent below the billed amount, or a payment plan or hardship discount. Call the billing department, explain that you are self-pay, and ask for the financial assistance policy. Abortion funds may help with remaining balances.
What is the difference between hospital and independent clinic abortion cost in New Hampshire?
In 2026, an independent New Hampshire clinic charges roughly $600 to $1,000 for a first-trimester surgical abortion, while a hospital outpatient department can bill $1,500 to $3,500 or more for the same procedure. The hospital price reflects facility fees, provider-based billing, and a chargemaster list price that few people pay in full. Hospital bills also often separate anesthesia, pathology, and ultrasound. Ask whether the provider bills as an independent clinic or a hospital, and request the self-pay discount policy in writing.
Will my insurance cover an abortion in New Hampshire in 2026?
Coverage depends on the plan. NH Medicaid and Original Medicare cover abortion only for rape, incest, or life endangerment. New Hampshire does not require ACA-compliant plans to cover abortion, and federal premium tax credits cannot pay the portion of a premium for abortion coverage, so some marketplace and employer plans cover it and others do not. Abortion is not a USPSTF preventive service, so deductible and coinsurance usually apply. Review your Summary of Benefits, ask about prior authorization, and compare your cost with the clinic's cash price.
What is the difference between medication abortion and surgical abortion in New Hampshire?
Medication abortion uses mifepristone followed by misoprostol and is available in New Hampshire by telehealth or in person, generally through about 11 to 12 weeks, for $299 to $700 in 2026. Surgical abortion uses vacuum aspiration in the first trimester or dilation and evacuation (D&E) later, in a clinic or hospital with local anesthesia or sedation, for $600 to $2,600. Pills cost less and can be taken at home, while surgical care is completed in one visit. Both are effective, and the right choice depends on gestational age and medical history.
What financial help is available for an abortion in New Hampshire in 2026?
Options include sliding-scale fees at Planned Parenthood of Northern New England and independent clinics, hospital financial assistance that can cut the chargemaster price by 20 to 60 percent, and sliding-scale FQHCs for patients near or below the federal poverty level of $15,650 for one person in 2026. The National Abortion Federation hotline at 1-800-772-9100 and the National Network of Abortion Funds at abortionfunds.org can connect patients with grants, and may help with travel. Contact funds early because their budgets are limited.
