New Hampshire: Multiplier vs. Per Diem Method Compared

Two different ways to turn pain and suffering into a dollar figure — and in New Hampshire, neither one ever runs into a cap, for any kind of claim.

The multiplier method: scaling off your damages

The multiplier method is the industry's default approach. It takes your economic damages — medical bills and lost wages — and multiplies that total by a factor generally between 1.5 and 5, chosen based on injury severity, recovery time, and whether any permanent impairment is involved.

The per diem method: valuing each day

The per diem (Latin for "per day") method works differently. It assigns a specific dollar value to a single day of pain and suffering and multiplies that rate by the total number of days of documented recovery, tying the value directly to time rather than to the size of your medical bills.

A genuine rarity: no cap to check against, ever

In most states with a damages cap, the choice between these two methods matters most once the noneconomic estimate approaches the ceiling. New Hampshire removes that consideration entirely. The state Supreme Court struck down a medical malpractice damages cap in 1980 (Carson v. Maurer), a broader personal injury cap in 1991, and a third cap in 1999 — each time ruling the limit unconstitutional under the state's own equal protection guarantees. Whichever method produces the larger noneconomic figure, there's no statutory ceiling waiting to cut it down, for any type of personal injury claim.

So the choice comes down to which fits the facts

Without a cap in play, choosing between the multiplier and per diem methods in New Hampshire is purely a question of which better fits the specific facts of the case — a claim with a long, well-documented recovery period might favor the per diem approach, while a claim with substantial medical bills might favor the multiplier. Neither choice is constrained by a ceiling waiting at the end.

Neither is required by New Hampshire law

Both methods remain negotiating tools, not a formula New Hampshire courts are required to apply. A jury retains full discretion to award whatever amount it finds appropriate for noneconomic damages.

Multiplier vs. per diem — frequently asked questions

What is the multiplier method for valuing pain and suffering?

It takes your economic damages — medical bills and lost wages — and multiplies that total by a factor, generally between 1.5 and 5, based on how severe and lasting the injury is.

What is the per diem method, and how does it differ?

The per diem method assigns a specific dollar value to each day you experience pain and suffering, then multiplies that daily rate by the number of days of recovery, rather than scaling off your economic damages.

Does either method's output get checked against a cap in New Hampshire?

No, for any claim type. New Hampshire has had three separate damages caps struck down by its Supreme Court since 1980, so neither method's output is ever capped, whether the claim is medical malpractice or an ordinary injury.

Why does this make New Hampshire unusual compared to most states?

Many states cap noneconomic damages at least for medical malpractice. New Hampshire's Supreme Court has repeatedly found such caps unconstitutional under the state's own equal protection guarantees, leaving the full multiplier or per diem output to stand regardless of claim type.

Is either method required by New Hampshire law?

No. Neither is a formula set by statute. Both are negotiating tools used by attorneys and insurance adjusters to reach a number for the jury or the settlement table.

This page provides general guidance only and is not legal advice. Figures are based on the multiplier and per diem methods commonly used across the personal injury industry and Carson v. Maurer, 120 N.H. 925 (1980), verified per our methodology. Confirm how these methods apply to a specific claim with a licensed New Hampshire attorney before acting.