Price AtlasInteractive atlas · All states · techysurgeon.comPortsmouth Regional Hospital: what a joint replacement costs
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.
Medicare prices at Portsmouth Regional Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,693 | 1.4× | $13,334–$50,405 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $50,405 | 2.3× | 1 |
| Elevance/Anthem/Empire | $47,923 | 2.2× | 1 |
| Harvard Pilgrim | $36,147 | 1.7× | 1 |
| Centene/Superior/Ambetter | $23,239 | 1.1× | 1 |
| UnitedHealthcare | $18,201 | 0.8× | 1 |
| Granite State Health | $13,334 | 0.6× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Portsmouth Regional Hospital for a knee or hip replacement?
In 2024 the average total payment to Portsmouth Regional Hospital for an inpatient hip or knee replacement stay was $21,539 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,046 per outpatient case (APC 5115, 345 cases).
What is Portsmouth Regional Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $175,574, 8.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Portsmouth Regional Hospital?
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.
How does Portsmouth Regional Hospital compare with other New Hampshire hospitals?
Portsmouth Regional Hospital's average total payment per Medicare stay is higher than 88% of the 8 New Hampshire hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Portsmouth Regional Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $29,693 across 6 insurers, ranging from $13,334 to $50,405.