New Hampshire / Parkland Medical Center
CMS certification 300017 · Derry, NH · 5 entries in CMS's price-transparency list
Parkland Medical Center: charges and Medicare payments
Parkland Medical Center reported 994 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 7.29 times what it was paid — among the higher ratios in New Hampshire, number 2 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: 182 stays at an average charge of $94,824, 5% above the national average. It also billed 596 outpatient services, charging 20.12 times what Medicare paid.
- 1Medicare inpatient stays 994
- 2Charge ÷ paid, inpatient 7.29×
- 3Rank in NH (highest ratio = 1) 2 of 13
- 4CMS price-transparency actions 5
Inpatient stays
For the 36 DRGs that can be compared with the national average, Parkland Medical Center charged more than the national average in 31 (86%). 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 | 182 | $94,824 | +5% | $14,416 |
| 291 Heart Failure and Shock with MCC | 118 | $69,700 | +24% | $9,430 |
| 193 Simple Pneumonia and Pleurisy with MCC | 65 | $70,467 | +18% | $10,203 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $59,312 | +3% | $9,146 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 37 | $92,108 | +21% | $11,326 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $52,598 | +31% | $8,229 |
| 683 Renal Failure with CC | 31 | $42,781 | +5% | $6,645 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $53,568 | +9% | $8,954 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $84,724 | +52% | $9,404 |
| 312 Syncope and Collapse | 27 | $66,093 | +45% | $6,296 |
| 682 Renal Failure with MCC | 26 | $71,528 | +8% | $12,671 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $50,495 | +40% | $5,740 |
| 069 Transient Ischemia without Thrombolytic | 21 | $80,901 | +60% | $5,925 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $71,904 | +2% | $11,844 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $54,228 | +6% | $8,371 |
| 552 Medical Back Problems without MCC | 18 | $62,976 | +29% | $7,200 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $48,246 | +28% | $5,902 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $61,924 | +28% | $7,253 |
| 389 Gastrointestinal Obstruction with CC | 17 | $59,852 | +54% | $8,022 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $79,000 | -21% | $13,702 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $44,501 | -21% | $8,912 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $49,796 | +73% | $4,856 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $39,776 | +7% | $6,030 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $73,085 | 0% | $11,578 |
| 812 Red Blood Cell Disorders without MCC | 14 | $51,215 | +15% | $6,258 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $219,496 | -4% | $35,973 |
| 305 Hypertension without MCC | 13 | $57,618 | +44% | $5,789 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $169,437 | +68% | $15,102 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $62,727 | +4% | $9,545 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $75,166 | +49% | $7,119 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $245,754 | +115% | $27,745 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $58,867 | +38% | $6,526 |
| 092 Other Disorders of Nervous System with CC | 11 | $61,401 | +19% | $7,818 |
| 100 Seizures with MCC | 11 | $81,877 | -13% | $12,498 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $126,297 | +98% | $8,022 |
| 603 Cellulitis without MCC | 11 | $37,797 | +1% | $6,544 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 144 | $43,905 | $2,724 |
| Level 2 Urology and Related Services | 125 | $11,094 | $676 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 55 | $20,245 | $1,086 |
| Level 3 Urology and Related Services | 51 | $35,843 | $1,996 |
| Level 3 Vascular Procedures | 22 | $29,752 | $3,173 |
| Level 1 Laparoscopy and Related Services | 21 | $98,453 | $5,525 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 20 | $58,304 | $3,794 |
| Level 3 Musculoskeletal Procedures | 20 | $39,936 | $3,222 |
| Level 4 Urology and Related Services | 20 | $37,996 | $3,470 |
| Level 6 Musculoskeletal Procedures | 18 | $374,738 | $18,506 |
| Level 5 Urology and Related Services | 17 | $50,601 | $5,150 |
| Level 2 Upper GI Procedures | 16 | $32,297 | $1,894 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 15 | $97,661 | $6,491 |
| Level 4 Musculoskeletal Procedures | 13 | $120,789 | $6,684 |
| Level 5 Musculoskeletal Procedures | 13 | $202,404 | $12,198 |
| Level 1 Endovascular Procedures | 13 | $66,139 | $3,069 |
| Level 2 Laparoscopy and Related Services | 13 | $175,091 | $10,237 |
Against the New Hampshire average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Parkland Medical Center charged $94,824 on average, 52% more than the New Hampshire average of $62,580, and was paid $14,416 against a state average of $17,104. For Heart Failure and Shock with MCC (DRG 291), Parkland Medical Center charged $69,700 on average, 75% more than the New Hampshire average of $39,842, and was paid $9,430 against a state average of $11,075. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Parkland Medical Center charged $70,467 on average, 74% more than the New Hampshire average of $40,443, and was paid $10,203 against a state average of $11,445. For Pulmonary Edema and Respiratory Failure (DRG 189), Parkland Medical Center charged $59,312 on average, 62% more than the New Hampshire average of $36,724, and was paid $9,146 against a state average of $11,286. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $43,905 was 113% above the state average of $20,649. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $11,094 was 248% above the state average of $3,190. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,245 was 108% above the state average of $9,741. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $35,843 was 269% above the state average of $9,710.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Parkland Medical Center in Derry, NH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 462)
- CAP Request — 2022-11-02 (CMS case 462)
- Closure Notice — 2023-07-19 (CMS case 462)
- Met Requirements — 2025-04-16 (CMS case 3877)
- Met Requirements — 2025-05-05 (CMS case 4317)
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.