CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Frisbie Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,793
about 1.4× the $14,044 Medicare rate · typically $16,228–$27,751
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,059
Above the fair price
about $6,266 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $19,793 This hospital $26,059

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 4 of 6 other NH hospitals charge less.

Cheapest $15,109 Priciest $27,732

Black dot = this hospital, among the 7 NH hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,793 (about 1.4× the $14,044 Medicare rate). Frisbie Memorial Hospital charges insurers about $26,059 — above the fair price. Located in Rochester, NH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,793. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $16,400 117%
Blue Cross Blue Shieldmajor $16,769 - $70,180 119%
Aetnamajor $16,769 119%
Cignamajor $17,104 - $63,177 122%
Humanamajor $16,769 119%
Ambetter (Centene) $23,239 165%
AmeriHealth $13,598 97%
Harvard Pilgrim $24,887 - $37,145 177%
Tufts Health Plan $7,757 55%
+ 2 smaller / regional plans $13,994 - $17,439
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 11 Whitehall Road, Rochester, NH 03867
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals