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New Hampshire: one knee, three prices

What Medicare pays New Hampshire hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$9,012
Median Medicare knee rate, 16 orthopedic surgery centers
Hospital, same day
$12,510
Median Medicare allowed amount
Hospital, overnight
$15,393
Median avg total payment (incl. patient share), 8 hospitals

New Hampshire has no certificate-of-need law.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Wentworth-Douglass HospitalDover$14,046$80,670$12,464
Catholic Medical CenterManchester$14,322$87,755$12,510
St Joseph HospitalNashua$15,095$73,486$12,662
Concord HospitalConcord$15,157$63,690$12,453
Elliot HospitalManchester$15,629$55,558$12,682
Cheshire Medical CenterKeene$17,590$53,095$12,328
Portsmouth Regional HospitalPortsmouth$21,539$175,574$13,046
Mary Hitchcock Memorial HospitalLebanon$22,814$65,741$13,281

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Mary Hitchcock Memorial HospitalLebanon$22,814$65,741$13,281
Portsmouth Regional HospitalPortsmouth$21,539$175,574$13,046
Cheshire Medical CenterKeene$17,590$53,095$12,328
Elliot HospitalManchester$15,629$55,558$12,682
Concord HospitalConcord$15,157$63,690$12,453
St Joseph HospitalNashua$15,095$73,486$12,662
Catholic Medical CenterManchester$14,322$87,755$12,510
Wentworth-Douglass HospitalDover$14,046$80,670$12,464

Every New Hampshire hospital (11)

Orthopedic surgery centers (16)

Questions

How much does Medicare pay for a knee replacement in New Hampshire?

In 2024 the median average total payment to New Hampshire hospitals was $15,393 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 8 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $12,510 per outpatient case. An orthopedic surgery center is paid about $9,012 for a knee.

Which New Hampshire hospitals have the lowest Medicare payment for a joint replacement?

Wentworth-Douglass Hospital ($14,046), Catholic Medical Center ($14,322), St Joseph Hospital ($15,095) (average total payment per inpatient stay, patient share included).

What do New Hampshire hospitals list for a joint replacement?

The median list (chargemaster) price is $69,614, about 4.5× the median average total payment for a Medicare stay.

Does New Hampshire have a certificate-of-need law?

New Hampshire has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 2016.