Arkansas / CHI St Vincent Infirmary
CMS certification 040007 · Little Rock, AR · 4 entries in CMS's price-transparency list
CHI St Vincent Infirmary: charges and Medicare payments
CHI St Vincent Infirmary reported 3,140 Medicare inpatient stays across 101 DRGs in 2024. Across them it charged 4.15 times what it was paid — mid-range in Arkansas, number 12 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: 334 stays at an average charge of $53,234, 41% below the national average. It also billed 3,129 outpatient services, charging 5.59 times what Medicare paid.
- 1Medicare inpatient stays 3,140
- 2Charge ÷ paid, inpatient 4.15×
- 3Rank in AR (highest ratio = 1) 12 of 32
- 4CMS price-transparency actions 4
Inpatient stays
For the 101 DRGs that can be compared with the national average, CHI St Vincent Infirmary 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 | 334 | $53,234 | -41% | $13,476 |
| 291 Heart Failure and Shock with MCC | 146 | $33,899 | -40% | $9,578 |
| 885 Psychoses | 108 | $28,375 | -36% | $9,039 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 104 | $151,998 | -47% | $43,519 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 86 | $130,065 | -43% | $32,113 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 76 | $203,202 | -31% | $42,042 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 76 | $86,506 | -45% | $23,116 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 71 | $263,588 | -34% | $53,710 |
| 330 Major Small and Large Bowel Procedures with CC | 67 | $78,132 | -34% | $17,775 |
| 378 Gastrointestinal Hemorrhage with CC | 66 | $35,337 | -27% | $7,230 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 62 | $26,774 | -45% | $7,562 |
| 193 Simple Pneumonia and Pleurisy with MCC | 58 | $32,853 | -45% | $9,323 |
| 377 Gastrointestinal Hemorrhage with MCC | 58 | $55,538 | -35% | $12,063 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $41,125 | -42% | $11,524 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 47 | $52,065 | -29% | $11,600 |
| 682 Renal Failure with MCC | 46 | $35,489 | -46% | $10,166 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 43 | $143,297 | -35% | $34,695 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 42 | $64,200 | -43% | $15,424 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 42 | $19,187 | -47% | $5,647 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $37,865 | -37% | $9,697 |
| 683 Renal Failure with CC | 39 | $20,865 | -49% | $6,802 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $28,784 | -50% | $9,080 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 36 | $26,352 | -34% | $6,065 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 34 | $73,306 | -27% | $15,874 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 34 | $55,796 | -35% | $12,395 |
| 329 Major Small and Large Bowel Procedures with MCC | 33 | $117,872 | -45% | $31,380 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 32 | $30,473 | -46% | $8,867 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 30 | $49,030 | -35% | $11,085 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 29 | $154,048 | -45% | $45,321 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 28 | $31,949 | -43% | $7,455 |
| 270 Other Major Cardiovascular Procedures with MCC | 28 | $188,591 | -27% | $37,366 |
| 444 Disorders of The Biliary Tract with MCC | 28 | $48,644 | -42% | $12,107 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 27 | $219,342 | -21% | $37,528 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 27 | $181,234 | -14% | $30,539 |
| 163 Major Chest Procedures with MCC | 26 | $146,409 | -30% | $33,587 |
| 389 Gastrointestinal Obstruction with CC | 26 | $19,569 | -50% | $5,750 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $86,554 | -24% | $13,242 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $64,972 | -36% | $14,061 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 24 | $146,797 | -24% | $30,475 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 24 | $16,810 | -41% | $4,242 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 22 | $72,133 | -55% | $25,336 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 21 | $71,801 | -19% | $13,191 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $43,931 | -28% | $9,503 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $26,939 | -27% | $5,785 |
| 862 Postoperative and Post-Traumatic Infections with MCC | 21 | $47,001 | -44% | $13,248 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 20 | $232,750 | -40% | $47,793 |
| 394 Other Digestive System Diagnoses with CC | 20 | $26,052 | -45% | $7,140 |
| 100 Seizures with MCC | 19 | $38,144 | -60% | $12,592 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $71,163 | -30% | $14,699 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $30,701 | -40% | $8,017 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $125,051 | -8% | $20,621 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 18 | $48,232 | -57% | $16,496 |
| 811 Red Blood Cell Disorders with MCC | 18 | $45,793 | -33% | $10,299 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 18 | $26,541 | -61% | $8,992 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $74,791 | -24% | $15,254 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 18 | $160,858 | -50% | $45,764 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $120,921 | -26% | $21,703 |
| 393 Other Digestive System Diagnoses with MCC | 17 | $53,579 | -30% | $11,271 |
| 552 Medical Back Problems without MCC | 17 | $27,191 | -44% | $7,059 |
| 253 Other Vascular Procedures with CC | 16 | $97,975 | -26% | $19,762 |
Showing the 60 most frequent of 101 DRGs.
Outpatient services
Against the Arkansas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI St Vincent Infirmary charged $53,234 on average, 5% less than the Arkansas average of $56,298, and was paid $13,476 against a state average of $14,253. For Heart Failure and Shock with MCC (DRG 291), CHI St Vincent Infirmary charged $33,899 on average, 9% less than the Arkansas average of $37,089, and was paid $9,578 against a state average of $9,423. For Psychoses (DRG 885), CHI St Vincent Infirmary charged $28,375 on average, 23% less than the Arkansas average of $36,969, and was paid $9,039 against a state average of $10,590. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), CHI St Vincent Infirmary charged $151,998 on average, 7% more than the Arkansas average of $142,243, and was paid $43,519 against a state average of $42,325. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,383 was 5% above the state average of $14,661. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,323 was 1% above the state average of $15,198. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $97,183 was 2% above the state average of $95,287. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $24,751 was 29% below the state average of $34,937.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI St Vincent Infirmary in Little Rock, AR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 132)
- CAP Request — 2021-10-27 (CMS case 132)
- Closure Notice — 2022-03-07 (CMS case 132)
- Met Requirements — 2025-06-10 (CMS case 5023)
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.