HCA Healthcare · Portsmouth, NH
35
In-network payers
320
Disclosed rate categories
220
Beds
4
Care quality
Portsmouth Regional Hospital is a 220-bed proprietary hospital in Portsmouth, NH, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 320 disclosed rate categories.
CCN (Medicare provider number)
300029
NPI
1518913607
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
220
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Portsmouth Regional Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$6,192 - $24,316
from 4 insurers · median $14,488
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,192 - $31,059
from 4 insurers · median $18,255
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$383 - $6,273
from 4 insurers · median $3,280
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,565 - $15,679
from 4 insurers · median $4,786
31 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$89,950 - $145,502
from 3 insurers · median $107,653
11 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$53,300 - $66,381
from 2 insurers · median $59,841
18 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$1,727 - $2,347
from 4 insurers · median $2,141
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,514 - $31,842
from 4 insurers · median $14,735
56 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$267 - $784
from 4 insurers · median $500
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,969 - $4,189
from 4 insurers · median $3,488
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,192 - $24,316
from 4 insurers · median $14,488
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$6,514 - $27,929
from 4 insurers · median $15,779
56 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$18,207 - $53,505
from 4 insurers · median $37,111
13 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$115 - $986
from 3 insurers · median $661
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,572 - $7,459
from 4 insurers · median $6,908
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$193 - $2,915
from 3 insurers · median $1,576
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,185 - $3,487
from 4 insurers · median $2,673
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$11,454 - $48,979
from 4 insurers · median $15,951
18 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$100 - $2,584
from 3 insurers · median $1,435
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,289 - $6,674
from 4 insurers · median $2,868
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$1,276 - $4,231
from 4 insurers · median $3,164
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$2,097 - $4,411
from 4 insurers · median $3,466
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$153 - $336
from 4 insurers · median $204
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,423 - $5,049
from 4 insurers · median $3,008
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 610% | 19 | 0 |
| Insurer B* | 24 | 462% | 15 | 5 |
| Insurer C* | 23 | 451% | 7 | 5 |
| Insurer D* | 21 | 236% | 8 | 10 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Portsmouth Regional Hospital.
333 Borthwick Avenue, Portsmouth, NH 03801
(603) 436-5110
The nearest hospitals of similar type and size. Their rates are compared with Portsmouth Regional Hospital for the same insurers and services above.
Wentworth-Douglass Hospital
Rates about the same as Portsmouth Regional Hospital (21 services)
Anna Jaques Hospital
▼ Rates typically 66% lower than Portsmouth Regional Hospital (19 services)
Holy Family Hospital - Methuen
▼ Rates typically 65% lower than Portsmouth Regional Hospital (20 services)
Lawrence General Hospital
▼ Rates typically 59% lower than Portsmouth Regional Hospital (20 services)
Southern Maine Health Care - Biddeford
▲ Rates typically 8% higher than Portsmouth Regional Hospital (21 services)
Elliot Hospital
▲ Rates typically 11% higher than Portsmouth Regional Hospital (21 services)
Frisbie Memorial Hospital
Parkland Medical Center
Concord Hospital
About Portsmouth Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Portsmouth Regional Hospital range from $1,969 to $4,189 across 4 insurers. Cigna's rate is $3,173. The median at nearby comparable hospitals is $1,043. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Portsmouth Regional Hospital range from $383 to $6,273 across 4 insurers. Aetna's rate is $4,683. The median at nearby comparable hospitals is $1,072. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Portsmouth Regional Hospital range from $1,289 to $6,674 across 4 insurers. Blue Cross Blue Shield's rate is $1,661. The median at nearby comparable hospitals is $3,760. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Portsmouth Regional Hospital range from $6,192 to $24,316 across 4 insurers. UnitedHealthcare's rate is $6,192. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Portsmouth Regional Hospital range from $267 to $784 across 4 insurers. Aetna's rate is $690. The median at nearby comparable hospitals is $199. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Portsmouth Regional Hospital range from $18,207 to $53,505 across 4 insurers. Blue Cross Blue Shield's rate is $28,879. The median at nearby comparable hospitals is $29,354. What a patient pays depends on their plan's deductible, coinsurance and network status.
Portsmouth Regional Hospital has 220 beds. Facility type: Short Term Acute Care Hospital.
Portsmouth Regional Hospital is located at 333 Borthwick Avenue, Portsmouth, NH 03801. Its main phone number is (603) 436-5110.
Portsmouth Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 300029.
The National Provider Identifier (NPI) on file for Portsmouth Regional Hospital is 1518913607.
Portsmouth Regional Hospital is affiliated with HCA Healthcare.
Portsmouth Regional Hospital lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
320 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers