facebook tracking Revision of hip or knee replacement without complications cost in New Hampshire: 4 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in New Hampshire

What 4 hospitals in New Hampshire charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $127,878 Hospital list price billed
Average payment $23,751 Medicare + patient + other payers
Medicare paid $22,133 Average per stay
State rank #26 of 42 1 = lowest average payment

Hospitals in New Hampshire billed an average of $127,878 for revision of hip or knee replacement without complications, about 5.4 times the average total payment of $23,751. That payment is about the same as the U.S. average of $23,925.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $23,751Billed $127,878

About 19¢ was paid for every $1 hospitals in New Hampshire billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New Hampshire:

New Hampshire hospitals: revision of hip or knee replacement without complications

Every New Hampshire hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Mary Hitchcock Mem HospitalLebanon 18 $86,250 $28,274 $26,175
Concord HospitalConcord 15 $90,374 $21,256 $19,663
Elliot HospitalManchester 12 $109,393 $20,364 $19,263
Portsmouth Regional HospitalPortsmouth 12 $255,687 $23,472 $22,028
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Lowest and highest payments in New Hampshire

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Elliot HospitalManchester, NH$20,364
Concord HospitalConcord, NH$21,256
Portsmouth Regional HospitalPortsmouth, NH$23,472
Mary Hitchcock Mem HospitalLebanon, NH$28,274

Highest

Mary Hitchcock Mem HospitalLebanon, NH$28,274
Portsmouth Regional HospitalPortsmouth, NH$23,472
Concord HospitalConcord, NH$21,256
Elliot HospitalManchester, NH$20,364

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in New Hampshire?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 4 hospitals in New Hampshire was billed at $127,878 on average, while the average total payment was $23,751, of which Medicare paid $22,133. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New Hampshire, average charges were 5.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.