Portsmouth, NH 03801 · CMS Certification Number 300029. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,539 | $175,574 | 8.2× | $13,046 |
| Shoulder replacement | — | — | — | $18,506 |
| Hip replacement after a fracture (DRG 522) | $18,787 | $161,018 | 8.6× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 209 beds
New Hampshire has no certificate-of-need law.
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In 2024 Medicare paid Portsmouth Regional Hospital an average of $21,539 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $13,046 per outpatient case (APC 5115, 345 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $175,574, 8.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. New England Center for Orthopaedic Surgery, an orthopedic surgery center same ZIP away, is paid about $9,066 by Medicare for a knee replacement (CPT 27447), $12,473 less than an inpatient stay at Portsmouth Regional Hospital. Not every patient is a surgery-center candidate.
Medicare paid Portsmouth Regional Hospital more than 88% of the 8 New Hampshire hospitals that report inpatient hip or knee replacement.