Southern Nh Medical Center: charges and Medicare payments

Southern Nh Medical Center reported 1,505 Medicare inpatient stays across 48 DRGs in 2024. Across them it charged 2.91 times what it was paid — among the lower ratios in New Hampshire, number 12 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: 199 stays at an average charge of $35,794, 60% below the national average. It also billed 1,768 outpatient services, charging 6.73 times what Medicare paid.

1Medicare inpatient stays 1,505
2Charge ÷ paid, inpatient 2.91×
3Rank in NH (highest ratio = 1) 12 of 13
4CMS price-transparency actions 0

Average charge per stay at Southern Nh Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 48 DRGs that can be compared with the national average, Southern Nh Medical Center charged more than the national average in 0 (0%). 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	199	$35,794	-60%	$15,270
291 Heart Failure and Shock with MCC	141	$27,992	-50%	$10,288
193 Simple Pneumonia and Pleurisy with MCC	108	$26,296	-56%	$10,840
177 Respiratory Infections and Inflammations with MCC	86	$31,933	-55%	$12,778
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	48	$26,820	-45%	$8,640
280 Acute Myocardial Infarction, Discharged Alive with MCC	47	$42,115	-44%	$13,505
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	44	$23,165	-42%	$7,078
698 Other Kidney and Urinary Tract Diagnoses with MCC	41	$41,915	-43%	$12,224
189 Pulmonary Edema and Respiratory Failure	36	$22,572	-61%	$10,028
682 Renal Failure with MCC	35	$37,756	-43%	$11,224
683 Renal Failure with CC	34	$22,325	-45%	$7,462
603 Cellulitis without MCC	33	$17,239	-54%	$7,052
690 Kidney and Urinary Tract Infections without MCC	32	$18,062	-52%	$6,444
377 Gastrointestinal Hemorrhage with MCC	31	$43,786	-49%	$13,793
552 Medical Back Problems without MCC	29	$26,585	-46%	$8,522
378 Gastrointestinal Hemorrhage with CC	28	$33,521	-31%	$8,994
689 Kidney and Urinary Tract Infections with MCC	26	$29,932	-42%	$8,651
312 Syncope and Collapse	25	$26,044	-43%	$7,091
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	24	$30,419	-45%	$9,655
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$32,881	-45%	$10,522
811 Red Blood Cell Disorders with MCC	23	$38,564	-43%	$11,122
308 Cardiac Arrhythmia and Conduction Disorders with MCC	22	$36,898	-35%	$10,927
853 Infectious and Parasitic Diseases with O.R. Procedures with...	22	$100,582	-56%	$33,438
194 Simple Pneumonia and Pleurisy with CC	21	$23,996	-37%	$8,655
286 Circulatory Disorders except AMI, with Cardiac...	21	$52,766	-53%	$16,771
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	20	$43,859	-56%	$14,756
281 Acute Myocardial Infarction, Discharged Alive with CC	18	$31,173	-38%	$6,966
389 Gastrointestinal Obstruction with CC	18	$27,511	-29%	$6,528
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$39,159	-40%	$10,706
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	17	$19,779	-31%	$4,762
481 Hip and Femur Procedures except Major Joint with CC	17	$63,970	-37%	$15,918
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	16	$21,258	-43%	$6,077
178 Respiratory Infections and Inflammations with CC	15	$26,136	-42%	$8,460
321 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$84,434	-48%	$25,376
322 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$57,964	-49%	$18,483
329 Major Small and Large Bowel Procedures with MCC	14	$92,940	-57%	$38,022
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	14	$31,014	-49%	$10,120
309 Cardiac Arrhythmia and Conduction Disorders with CC	13	$23,751	-34%	$7,171
551 Medical Back Problems with MCC	13	$40,649	-48%	$14,997
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	13	$20,184	-53%	$6,820
287 Circulatory Disorders except AMI, with Cardiac...	12	$39,733	-38%	$8,619
314 Other Circulatory System Diagnoses with MCC	12	$53,907	-43%	$15,575
472 Cervical Spinal Fusion with CC	12	$71,154	-50%	$24,689
812 Red Blood Cell Disorders without MCC	12	$32,998	-26%	$7,338
244 Permanent Cardiac Pacemaker Implant without CC/MCC	11	$46,293	-50%	$14,195
330 Major Small and Large Bowel Procedures with CC	11	$67,894	-43%	$17,523
473 Cervical Spinal Fusion without CC/MCC	11	$60,346	-48%	$21,023
917 Poisoning and Toxic Effects of Drugs with MCC	11	$25,694	-66%	$12,255

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	475	$15,942	$2,633
Level 2 Upper GI Procedures	266	$12,493	$1,847
Level 5 Musculoskeletal Procedures	125	$71,908	$12,564
Level 2 Excision/ Biopsy/ Incision and Drainage	107	$11,455	$1,566
Level 4 Musculoskeletal Procedures	87	$34,071	$6,842
Level 3 Vascular Procedures	87	$16,156	$3,113
Level 5 Urology and Related Services	75	$28,906	$5,053
Level 1 Endovascular Procedures	73	$16,667	$3,187
Level 1 Laparoscopy and Related Services	64	$31,694	$5,564
Level 4 Urology and Related Services	58	$21,588	$3,358
Level 3 Musculoskeletal Procedures	49	$20,983	$3,110
Level 3 Excision/ Biopsy/ Incision and Drainage	36	$20,152	$2,775
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	29	$23,677	$3,378
Level 4 Gynecologic Procedures	27	$16,271	$3,053
Level 2 Musculoskeletal Procedures	26	$11,660	$1,570
Level 1 Breast/Lymphatic Surgery and Related Procedures	24	$24,986	$3,722
Level 2 Vascular Procedures	24	$6,275	$1,564
Level 3 Urology and Related Services	24	$9,443	$1,989
Level 2 Pacemaker and Similar Procedures	22	$31,445	$8,295
Level 2 Endovascular Procedures	21	$18,619	$5,582
Level 3 Pacemaker and Similar Procedures	19	$31,738	$10,418
Level 2 Breast/Lymphatic Surgery and Related Procedures	15	$42,818	$6,030
Level 2 ICD and Similar Procedures	13	$92,099	$32,029
Level 6 Musculoskeletal Procedures	11	$96,891	$18,157
Level 2 Laparoscopy and Related Services	11	$42,815	$10,044

Against the New Hampshire average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southern Nh Medical Center charged $35,794 on average, 43% less than the New Hampshire average of $62,580, and was paid $15,270 against a state average of $17,104. For Heart Failure and Shock with MCC (DRG 291), Southern Nh Medical Center charged $27,992 on average, 30% less than the New Hampshire average of $39,842, and was paid $10,288 against a state average of $11,075. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Southern Nh Medical Center charged $26,296 on average, 35% less than the New Hampshire average of $40,443, and was paid $10,840 against a state average of $11,445. For Respiratory Infections and Inflammations with MCC (DRG 177), Southern Nh Medical Center charged $31,933 on average, 33% less than the New Hampshire average of $47,583, and was paid $12,778 against a state average of $14,409. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,942 was 23% below the state average of $20,649. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,493 was 4% below the state average of $12,954. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $71,908 was 5% above the state average of $68,487. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,455 was 18% above the state average of $9,741.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.