10/100
#2,399 nationally
Parkland Medical Center
1 Parkland Drive, Derry, NH 03038 · (603) 421-2100
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Parkland Medical Center billed $8.78 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 8.8x
- volume-weighted across all its priced work
- Procedures priced
- 53
- inpatient and outpatient combined
- Rank in NH
- #13
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 14% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 5% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
182 | $94,824 | $14,416 | +45% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
144 | $43,905 | $2,724 | +126% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
125 | $11,094 | $676 | +254% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
118 | $69,700 | $9,430 | +61% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
65 | $70,467 | $10,203 | +51% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
55 | $20,245 | $1,086 | +101% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
51 | $35,843 | $1,996 | +177% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
37 | $59,312 | $9,146 | +23% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
37 | $92,108 | $11,326 | +50% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
33 | $52,598 | $8,229 | +63% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$374,738 | $18,506 | +351% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$11,094 | $676 | +254% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$202,404 | $12,198 | +224% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$120,789 | $6,684 | +203% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$175,091 | $10,237 | +193% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$98,453 | $5,525 | +180% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$35,843 | $1,996 | +177% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$32,297 | $1,894 | +175% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$44,501 | $8,912 | -6% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$81,877 | $12,498 | about average |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$79,000 | $13,702 | +4% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$59,312 | $9,146 | +23% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$219,496 | $35,973 | +23% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$37,797 | $6,544 | +24% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$73,085 | $11,578 | +29% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$62,727 | $9,545 | +29% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.