Hip or knee replacement (inpatient stay)
Facility: Portsmouth Regional Hospital
Billing Code: 470 (MS-DRG)
A typical price — 3 charge more and 3 charge less, among the 7 NH hospitals compared.
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 $19,878 (about 1.4× the $14,044 Medicare rate). Portsmouth Regional Hospital charges insurers about $25,890 — above the fair price. Located in Portsmouth, 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 $19,878. 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
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 | $17,807 - $18,207 | 127% |
| Blue Cross Blue Shieldmajor | $18,571 - $70,848 | 132% |
| Aetnamajor | $18,207 | 130% |
| Cignamajor | $18,571 - $63,183 | 132% |
| Humanamajor | $18,207 | 130% |
| Ambetter (Centene) | $23,239 | 165% |
| AmeriHealth | $13,598 | 97% |
| Harvard Pilgrim | $28,917 - $36,147 | 206% |
| Tufts Health Plan | $7,757 | 55% |
| + 3 smaller / regional plans | $13,334 - $18,935 |
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.
Other Procedures at Portsmouth Regional Hospital
Compare: Hip or knee replacement (inpatient stay) at other NH hospitals
- Wentworth-Douglass Hospital · Dover $15,109
- Elliot Hospital · Manchester $19,571
- Parkland Medical Center · Derry $24,742
- Frisbie Memorial Hospital · Rochester $26,059
- Catholic Medical Center · Manchester $27,674
- Monadnock Community Hospital · Peterborough $27,732
Insurance negotiated median for the same procedure, sorted lowest first.