New Hampshire / Portsmouth Regional Hospital

CMS certification 300029 · Portsmouth, NH · 4 entries in CMS's price-transparency list

Portsmouth Regional Hospital: charges and Medicare payments

Portsmouth Regional Hospital reported 2,577 Medicare inpatient stays across 92 DRGs in 2024. Across them it charged 7.35 times what it was paid — among the higher ratios in New Hampshire, number 1 of 13 hospitals with at least 100 stays (state median 3.54×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 273 stays at an average charge of $107,705, 19% above the national average. It also billed 1,880 outpatient services, charging 13.8 times what Medicare paid.

1Medicare inpatient stays 2,577
2Charge ÷ paid, inpatient 7.35×
3Rank in NH (highest ratio = 1) 1 of 13
4CMS price-transparency actions 4

Average charge per stay at Portsmouth Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 92 DRGs that can be compared with the national average, Portsmouth Regional Hospital charged more than the national average in 88 (96%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	273	$107,705	+19%	$17,795
291 Heart Failure and Shock with MCC	95	$61,112	+8%	$11,509
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	68	$118,845	+19%	$17,369
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	67	$87,780	+58%	$10,373
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	66	$74,514	+52%	$9,955
552 Medical Back Problems without MCC	65	$79,590	+63%	$9,339
193 Simple Pneumonia and Pleurisy with MCC	63	$79,872	+34%	$12,024
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	63	$56,352	+40%	$8,508
481 Hip and Femur Procedures except Major Joint with CC	60	$193,032	+92%	$18,562
267 Endovascular Cardiac Valve Replacement and Supplement...	54	$569,329	+157%	$44,821
280 Acute Myocardial Infarction, Discharged Alive with MCC	52	$95,048	+25%	$14,023
309 Cardiac Arrhythmia and Conduction Disorders with CC	49	$49,957	+38%	$7,077
312 Syncope and Collapse	48	$63,542	+40%	$8,068
177 Respiratory Infections and Inflammations with MCC	47	$94,832	+34%	$13,998
189 Pulmonary Edema and Respiratory Failure	45	$58,503	+2%	$13,177
682 Renal Failure with MCC	42	$86,156	+31%	$17,097
281 Acute Myocardial Infarction, Discharged Alive with CC	38	$79,601	+58%	$9,614
683 Renal Failure with CC	36	$57,284	+41%	$9,284
689 Kidney and Urinary Tract Infections with MCC	36	$93,152	+81%	$11,040
853 Infectious and Parasitic Diseases with O.R. Procedures with...	36	$279,757	+22%	$45,260
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	34	$39,349	+37%	$6,420
322 Percutaneous Cardiovascular Procedures with Intraluminal...	33	$170,423	+49%	$17,231
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	32	$577,117	+45%	$73,006
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	32	$65,924	+55%	$8,384
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	30	$49,093	+32%	$8,209
100 Seizures with MCC	27	$141,254	+50%	$25,054
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	26	$54,572	+47%	$8,347
378 Gastrointestinal Hemorrhage with CC	25	$79,629	+64%	$11,165
069 Transient Ischemia without Thrombolytic	24	$69,312	+37%	$8,487
086 Traumatic Stupor and Coma <1 Hour with CC	24	$93,563	+37%	$12,480
377 Gastrointestinal Hemorrhage with MCC	24	$110,443	+29%	$16,023
698 Other Kidney and Urinary Tract Diagnoses with MCC	23	$101,085	+38%	$19,449
087 Traumatic Stupor and Coma <1 Hour without CC/MCC	22	$67,972	+32%	$8,211
101 Seizures without MCC	22	$65,471	+34%	$9,273
208 Respiratory System Diagnosis with Ventilator Support <=96...	22	$171,389	+26%	$24,045
603 Cellulitis without MCC	22	$48,278	+29%	$8,567
690 Kidney and Urinary Tract Infections without MCC	22	$55,163	+46%	$7,693
305 Hypertension without MCC	21	$53,761	+34%	$7,137
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$71,344	+26%	$11,134
394 Other Digestive System Diagnoses with CC	21	$54,371	+16%	$8,614
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$161,018	+57%	$18,787
330 Major Small and Large Bowel Procedures with CC	20	$175,227	+47%	$21,012
811 Red Blood Cell Disorders with MCC	20	$75,255	+10%	$12,783
885 Psychoses	20	$71,759	+63%	$12,894
039 Extracranial Procedures without CC/MCC	19	$90,933	+42%	$10,328
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$270,248	+65%	$28,611
092 Other Disorders of Nervous System with CC	18	$73,093	+42%	$9,710
149 Dysequilibrium	18	$62,899	+42%	$7,965
184 Major Chest Trauma with CC	18	$77,703	+40%	$9,882
233 Coronary Bypass with Cardiac Catheterization or Open...	18	$463,297	+20%	$61,075
390 Gastrointestinal Obstruction without CC/MCC	18	$38,405	+37%	$5,462
870 Septicemia or Severe Sepsis with MV >96 Hours	18	$335,623	+4%	$60,065
057 Degenerative Nervous System Disorders without MCC	17	$63,246	+12%	$11,421
445 Disorders of The Biliary Tract with CC	17	$92,999	+60%	$9,913
460 Spinal Fusion except Cervical without MCC	17	$301,911	+77%	$34,599
235 Coronary Bypass without Cardiac Catheterization with MCC	16	$351,226	+20%	$45,485
286 Circulatory Disorders except AMI, with Cardiac...	16	$158,940	+42%	$20,402
480 Hip and Femur Procedures except Major Joint with MCC	16	$198,296	+43%	$25,695
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	16	$95,982	+59%	$12,027
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	15	$66,136	+52%	$7,847

Showing the 60 most frequent of 92 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	345	$137,954	$13,046
Comprehensive Observation Services	339	$34,808	$2,699
Level 2 Excision/ Biopsy/ Incision and Drainage	139	$14,370	$1,604
Level 2 Upper GI Procedures	132	$27,813	$1,894
Level 1 Endovascular Procedures	95	$44,520	$3,249
Level 3 Electrophysiologic Procedures	88	$346,811	$23,576
Level 3 Urology and Related Services	82	$25,372	$2,027
Level 4 Musculoskeletal Procedures	65	$81,215	$7,121
Level 3 Vascular Procedures	62	$53,319	$3,173
Level 1 Laparoscopy and Related Services	56	$62,821	$5,580
Level 2 Musculoskeletal Procedures	38	$19,113	$1,509
Level 6 Musculoskeletal Procedures	35	$251,587	$18,506
Level 3 Endovascular Procedures	35	$147,016	$10,938
Level 4 Urology and Related Services	33	$37,281	$3,392
Level 4 Gynecologic Procedures	31	$38,706	$3,112
Level 4 Vascular Procedures	30	$58,669	$5,470
Level 5 Neurostimulator and Related Procedures	29	$227,449	$30,814
Level 1 Breast/Lymphatic Surgery and Related Procedures	26	$33,252	$3,794
Level 5 Urology and Related Services	25	$63,385	$5,150
Level 3 Lower GI Procedures	22	$26,449	$2,795
Level 3 Musculoskeletal Procedures	21	$31,620	$3,222
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	21	$38,024	$3,444
Level 3 Pacemaker and Similar Procedures	20	$120,455	$10,618
Level 1 Nerve Procedures	20	$47,168	$1,922
Level 2 Laparoscopy and Related Services	18	$147,454	$10,237

Against the New Hampshire average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Portsmouth Regional Hospital charged $107,705 on average, 72% more than the New Hampshire average of $62,580, and was paid $17,795 against a state average of $17,104. For Heart Failure and Shock with MCC (DRG 291), Portsmouth Regional Hospital charged $61,112 on average, 53% more than the New Hampshire average of $39,842, and was paid $11,509 against a state average of $11,075. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Portsmouth Regional Hospital charged $118,845 on average, 54% more than the New Hampshire average of $77,303, and was paid $17,369 against a state average of $18,810. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Portsmouth Regional Hospital charged $87,780 on average, 73% more than the New Hampshire average of $50,612, and was paid $10,373 against a state average of $9,534. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $137,954 was 101% above the state average of $68,487. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,808 was 69% above the state average of $20,649. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,370 was 48% above the state average of $9,741. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $27,813 was 115% above the state average of $12,954.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Portsmouth Regional Hospital in Portsmouth, NH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-08-25 (CMS case 682)
CAP Request — 2022-11-02 (CMS case 682)
Closure Notice — 2023-07-20 (CMS case 682)
Met Requirements — 2025-05-05 (CMS case 4292)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.