CMS Price Transparency Data

Total hip replacement

Facility: Portsmouth Regional Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$17,615
about 1.3× the $13,117 Medicare rate · typically $9,038–$33,313
modeled estimate · not a bill or quote
What this hospital charges insurers
$41,322
Well above the fair price
about $23,707 over the fair price · 3.2× Medicare
Medicare pays $13,117 Fair price $17,615 This hospital $41,322

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Highest price of the 7 NH hospitals we have prices for — worth calling around.

Cheapest $4,461 Priciest $41,322

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

A fair price for a Total hip replacement is about $17,615 (about 1.3× the $13,117 Medicare rate). Portsmouth Regional Hospital charges insurers about $41,322 — well 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 $17,615. 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.

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

✓ Blue Cross Blue Shield✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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
Blue Cross Blue Shieldmajor $33,630 - $49,730 256%
Cignamajor $45,276 - $52,068 345%
Humanamajor $14,000 107%

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: 333 Borthwick Ave, Portsmouth, NH 03801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals