Arkansas / Arkansas Surgical Hospital
CMS certification 040147 · No Little Rock, AR
Arkansas Surgical Hospital: charges and Medicare payments
Arkansas Surgical Hospital reported 418 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.39 times what it was paid — mid-range in Arkansas, number 20 of 32 hospitals with at least 100 stays (state median 3.99×, national 4.15×). Its most frequent stay was DRG 468, Revision of Hip or Knee Replacement without CC/MCC: 104 stays at an average charge of $78,519, 37% below the national average. It also billed 2,631 outpatient services, charging 3.98 times what Medicare paid.
- 1Medicare inpatient stays 418
- 2Charge ÷ paid, inpatient 3.39×
- 3Rank in AR (highest ratio = 1) 20 of 32
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Arkansas Surgical Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 468 Revision of Hip or Knee Replacement without CC/MCC | 104 | $78,519 | -37% | $16,815 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 96 | $42,456 | -54% | $11,854 |
| 467 Revision of Hip or Knee Replacement with CC | 69 | $81,341 | -48% | $21,705 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 30 | $56,116 | -72% | $28,808 |
| 460 Spinal Fusion except Cervical without MCC | 20 | $49,380 | -71% | $22,647 |
| 473 Cervical Spinal Fusion without CC/MCC | 18 | $35,830 | -69% | $15,337 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 17 | $59,151 | -53% | $15,912 |
| 517 Other Musculoskeletal System and Connective Tissue O.R.... | 15 | $15,843 | -80% | $9,569 |
| 520 Back and Neck Procedures except Spinal Fusion without CC/MCC | 14 | $18,716 | -76% | $9,020 |
| 489 Knee Procedures without Principal Diagnosis of Infection... | 12 | $21,769 | -64% | $8,012 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 12 | $20,526 | -80% | $12,821 |
| 472 Cervical Spinal Fusion with CC | 11 | $43,989 | -69% | $18,516 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 1,013 | $38,038 | $11,044 |
| Level 4 Musculoskeletal Procedures | 442 | $17,347 | $6,010 |
| Level 1 Nerve Procedures | 383 | $8,277 | $1,638 |
| Level 3 Musculoskeletal Procedures | 238 | $8,383 | $2,708 |
| Level 2 Musculoskeletal Procedures | 203 | $5,720 | $1,358 |
| Level 6 Musculoskeletal Procedures | 148 | $52,413 | $15,327 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 55 | $8,387 | $5,521 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 31 | $4,900 | $3,267 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 30 | $6,306 | $1,327 |
| Level 4 Urology and Related Services | 28 | $5,889 | $2,935 |
| Level 5 Neurostimulator and Related Procedures | 25 | $95,319 | $26,541 |
| Level 2 Neurostimulator and Related Procedures | 19 | $6,744 | $5,862 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $7,557 | $2,357 |
Against the Arkansas average
For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Arkansas Surgical Hospital charged $78,519 on average, 9% more than the Arkansas average of $72,253, and was paid $16,815 against a state average of $19,133. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Arkansas Surgical Hospital charged $42,456 on average, 29% less than the Arkansas average of $59,680, and was paid $11,854 against a state average of $13,216. For Revision of Hip or Knee Replacement with CC (DRG 467), Arkansas Surgical Hospital charged $81,341 on average, 5% less than the Arkansas average of $85,988, and was paid $21,705 against a state average of $24,845. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Arkansas Surgical Hospital charged $56,116 on average, 44% less than the Arkansas average of $99,497, and was paid $28,808 against a state average of $31,948. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,038 was 10% below the state average of $42,388. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $17,347 was 36% below the state average of $27,028. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,277 was 7% above the state average of $7,705. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $8,383 was 45% below the state average of $15,199.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.