Arkansas / CHI St Vincent Hospital Hot Springs
CMS certification 040026 · Hot Springs, AR
CHI St Vincent Hospital Hot Springs: charges and Medicare payments
CHI St Vincent Hospital Hot Springs reported 3,098 Medicare inpatient stays across 83 DRGs in 2024. Across them it charged 3.34 times what it was paid — mid-range in Arkansas, number 21 of 32 hospitals with at least 100 stays (state median 3.99×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 557 stays at an average charge of $43,507, 52% below the national average. It also billed 3,354 outpatient services, charging 4.78 times what Medicare paid.
- 1Medicare inpatient stays 3,098
- 2Charge ÷ paid, inpatient 3.34×
- 3Rank in AR (highest ratio = 1) 21 of 32
- 4CMS price-transparency actions 0
Inpatient stays
For the 83 DRGs that can be compared with the national average, CHI St Vincent Hospital Hot Springs 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 557 | $43,507 | -52% | $13,386 |
| 291 Heart Failure and Shock with MCC | 163 | $29,259 | -48% | $9,003 |
| 193 Simple Pneumonia and Pleurisy with MCC | 145 | $32,630 | -45% | $9,364 |
| 189 Pulmonary Edema and Respiratory Failure | 84 | $26,032 | -55% | $8,757 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 83 | $36,527 | -52% | $10,676 |
| 682 Renal Failure with MCC | 83 | $30,855 | -53% | $9,900 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 73 | $38,026 | -48% | $11,257 |
| 689 Kidney and Urinary Tract Infections with MCC | 66 | $24,146 | -53% | $7,980 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 64 | $26,971 | -52% | $7,263 |
| 683 Renal Failure with CC | 64 | $20,984 | -48% | $6,302 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 59 | $44,181 | -56% | $13,538 |
| 378 Gastrointestinal Hemorrhage with CC | 59 | $30,186 | -38% | $7,106 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 58 | $87,309 | -62% | $30,887 |
| 177 Respiratory Infections and Inflammations with MCC | 55 | $36,196 | -49% | $11,177 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 55 | $22,243 | -45% | $5,832 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 55 | $23,291 | -53% | $7,499 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 54 | $39,811 | -61% | $14,638 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 45 | $67,289 | -41% | $13,226 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $19,939 | -47% | $5,971 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $36,064 | -40% | $9,525 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 40 | $57,683 | -58% | $20,071 |
| 481 Hip and Femur Procedures except Major Joint with CC | 39 | $40,848 | -59% | $14,380 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 35 | $27,358 | -46% | $6,551 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $18,483 | -49% | $5,474 |
| 389 Gastrointestinal Obstruction with CC | 32 | $22,334 | -43% | $5,899 |
| 552 Medical Back Problems without MCC | 32 | $25,987 | -47% | $6,686 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 31 | $62,857 | -54% | $18,929 |
| 330 Major Small and Large Bowel Procedures with CC | 31 | $71,444 | -40% | $17,175 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $42,280 | -50% | $12,382 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $19,364 | -48% | $5,551 |
| 100 Seizures with MCC | 29 | $47,267 | -50% | $13,853 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $88,468 | -46% | $21,101 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 28 | $140,791 | -77% | $45,527 |
| 329 Major Small and Large Bowel Procedures with MCC | 27 | $99,160 | -54% | $31,470 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $55,556 | -59% | $20,203 |
| 603 Cellulitis without MCC | 26 | $20,675 | -45% | $6,438 |
| 312 Syncope and Collapse | 25 | $24,344 | -47% | $6,362 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 24 | $26,606 | -53% | $8,745 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 23 | $125,236 | -61% | $38,519 |
| 812 Red Blood Cell Disorders without MCC | 21 | $30,113 | -32% | $6,622 |
| 637 Diabetes with MCC | 20 | $29,246 | -56% | $9,682 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 19 | $87,895 | -62% | $30,032 |
| 101 Seizures without MCC | 19 | $27,984 | -43% | $6,509 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $31,302 | -49% | $9,379 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $22,518 | -53% | $7,075 |
| 390 Gastrointestinal Obstruction without CC/MCC | 18 | $17,507 | -37% | $4,274 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $44,149 | -55% | $13,786 |
| 305 Hypertension without MCC | 17 | $20,704 | -48% | $5,557 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 16 | $24,341 | -43% | $5,289 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $46,240 | -59% | $14,017 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 16 | $45,548 | -51% | $11,826 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 16 | $19,481 | -54% | $6,586 |
| 394 Other Digestive System Diagnoses with CC | 15 | $19,934 | -58% | $6,722 |
| 494 Lower Extremity and Humerus Procedures except Hip, Foot and... | 15 | $26,279 | -72% | $13,316 |
| 536 Fractures of Hip and Pelvis without MCC | 15 | $17,543 | -53% | $5,679 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 15 | $33,480 | -55% | $10,895 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $28,606 | -56% | $9,811 |
| 199 Pneumothorax with MCC | 14 | $58,175 | -28% | $11,988 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 14 | $35,973 | -47% | $9,745 |
| 069 Transient Ischemia without Thrombolytic | 13 | $24,687 | -51% | $6,189 |
Showing the 60 most frequent of 83 DRGs.
Outpatient services
Against the Arkansas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI St Vincent Hospital Hot Springs charged $43,507 on average, 23% less than the Arkansas average of $56,298, and was paid $13,386 against a state average of $14,253. For Heart Failure and Shock with MCC (DRG 291), CHI St Vincent Hospital Hot Springs charged $29,259 on average, 21% less than the Arkansas average of $37,089, and was paid $9,003 against a state average of $9,423. For Simple Pneumonia and Pleurisy with MCC (DRG 193), CHI St Vincent Hospital Hot Springs charged $32,630 on average, 21% less than the Arkansas average of $41,156, and was paid $9,364 against a state average of $9,550. For Pulmonary Edema and Respiratory Failure (DRG 189), CHI St Vincent Hospital Hot Springs charged $26,032 on average, 32% less than the Arkansas average of $38,336, and was paid $8,757 against a state average of $9,184. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,603 was 9% above the state average of $15,198. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,047 was 2% below the state average of $8,211. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,687 was 7% above the state average of $14,661. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $27,400 was 35% below the state average of $42,388.
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.