Parkland Medical Center
1 Parkland Drive, Derry, NH 03038 · 125 Priced Procedures · 61% Patient Recommendation
Typical commercial prices here are +65% above the fair benchmark (1.65×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.65× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Parkland Medical Center prices routine shoppable procedures at 2.4× Medicare (median 1.33× Fair BaseRate) while upper-quartile commercial rates jump +62% to 2.15× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 61% patient recommendation (68/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.8× markup over Medicare rates
- Commercial insurance median sits at 1.33× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.15×) jump +62% above the median procedure ratio (Q50 1.33×)
- Unnegotiated chargemaster list prices average 18.1× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Parkland Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $33,144 | 2.5× |
| Total knee replacement CPT Code: 27447 | $33,144 | 2.5× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $25,764 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $23,239 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $15,492 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,197 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $9,860 | 1.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $8,923 | 15.3× |
| Inguinal hernia repair CPT Code: 49505 | $7,265 | 2.0× |
| Breast lump removal CPT Code: 19120 | $7,265 | 1.9× |
| Bunion correction surgery CPT Code: 28296 | $7,265 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,218 | 0.8× |
| C-section delivery (full package) CPT Code: 59510 | $6,104 | 2.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,384 | 1.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $4,826 | unverified |
| Trauma team activation HCPCS Code: G0390 | $4,492 | 3.1× |
| Cataract surgery with lens implant CPT Code: 66984 | $4,187 | 1.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,825 | 1.4× |
| Injection procedure for pain management HCPCS Code: G0260 | $2,314 | 2.7× |
| Blood transfusion CPT Code: 36430 | $2,314 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,259 | 2.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,259 | 2.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,259 | 1.8× |
| Neurobehavioral status check CPT Code: 96116 | $1,951 | 8.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,340 | 2.6× |
Audit a Bill or Quote at Parkland Medical Center (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Parkland Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($79,546) is $66,133 above the denoised Fair BaseRate ($13,413) and 6.1× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Parkland Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Parkland Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-05·administrative_or_closure
Met Requirements
Recorded - 2025-04-16·administrative_or_closure
Met Requirements
Recorded - 2023-07-19·administrative_or_closure
Closure Notice
Recorded - 2022-11-02·cap_corrective_action
CAP Request
Recorded - 2021-09-29·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (512 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Parkland Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.