CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Portsmouth Regional Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$32,845

about 1.4× the $23,504 Medicare rate · typically $25,529–$45,903

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,999

About the fair price

about $1,846 under the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $32,845 This hospital $30,999

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 4 of 6 other NH hospitals charge more for the same procedure.

Cheapest $25,004 Priciest $55,795

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $32,845 (about 1.4× the $23,504 Medicare rate). Portsmouth Regional Hospital charges insurers about $30,999 — 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

✓ 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	$29,434 - $30,096	125%
Blue Cross Blue Shieldmajor	$30,698 - $109,027	131%
Aetnamajor	$30,096	128%
Cignamajor	$30,698 - $73,279	131%
Humanamajor	$30,096	128%
Ambetter (Centene)	$38,920	166%
AmeriHealth	$22,254	95%
Harvard Pilgrim	$4,602 - $5,752	20%
Tufts Health Plan	$7,757	33%
+ 3 smaller / regional plans	$21,822 - $31,300

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Portsmouth Regional Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

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
Catholic Medical Center · Manchester $55,795

Insurance negotiated median for the same procedure, sorted lowest first.