Spinal fusion, single level (inpatient stay)
Facility: Portsmouth Regional Hospital
Billing Code: 451 (MS-DRG)
This hospital's typical commercial price is $31,139 compared to the $31,245 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
One of the lower prices — 5 of 7 other NH hospitals charge more for the same procedure.
Black dot = this hospital, among the 8 NH hospitals with a price for this procedure. Full list below.
A fair price for a Spinal fusion, single level (inpatient stay) is about $31,245 (about 1.3× the $23,504 Medicare rate). Portsmouth Regional Hospital charges insurers about $31,139 — about the fair price. Located in Portsmouth, NH.
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 | $29,424 - $30,086 | 125% |
| Blue Cross Blue Shieldmajor | $30,688 - $109,027 | 131% |
| Aetnamajor | $30,086 | 128% |
| Cignamajor | $30,688 - $73,279 | 131% |
| Humanamajor | $30,086 | 128% |
| Ambetter (Centene) | $38,920 | 166% |
| AmeriHealth | $22,254 | 95% |
| Harvard Pilgrim | $4,602 - $5,752 | 20% |
| Molina | $33,095 | 141% |
| Tufts Health Plan | $7,757 | 33% |
| WellSense | $30,989 | 132% |
| + 3 smaller / regional plans | $21,822 - $31,290 |
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: Spinal fusion, single level (inpatient stay) at other NH hospitals
- Wentworth-Douglass Hospital · Dover $25,004
- Parkland Medical Center · Derry $25,764
- Elliot Hospital · Manchester $31,751
- Frisbie Memorial Hospital · Rochester $38,467
- Monadnock Community Hospital · Peterborough $45,386
- St Joseph Hospital · Nashua $47,954
- Catholic Medical Center · Manchester $55,795
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Portsmouth Regional Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $27,128
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $27,128).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Portsmouth Regional Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $31,245 Fair BaseRate ($23,504 Medicare)
Your bill ($74,734) is $43,489 above the denoised Fair BaseRate ($31,245) and 3.2× the $23,504 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.