Arkansas / National Park Medical Center

CMS certification 040078 · Hot Springs, AR · 2 entries in CMS's price-transparency list

National Park Medical Center: charges and Medicare payments

National Park Medical Center reported 759 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 12.42 times what it was paid — among the higher ratios in Arkansas, number 1 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: 136 stays at an average charge of $168,272, 86% above the national average. It also billed 1,429 outpatient services, charging 12.62 times what Medicare paid.

1Medicare inpatient stays 759
2Charge ÷ paid, inpatient 12.42×
3Rank in AR (highest ratio = 1) 1 of 32
4CMS price-transparency actions 2

Average charge per stay at National Park Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 32 DRGs that can be compared with the national average, National Park Medical Center charged more than the national average in 32 (100%). 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	136	$168,272	+86%	$13,038
193 Simple Pneumonia and Pleurisy with MCC	55	$131,454	+120%	$9,038
853 Infectious and Parasitic Diseases with O.R. Procedures with...	45	$359,922	+57%	$32,587
291 Heart Failure and Shock with MCC	38	$91,417	+62%	$8,728
177 Respiratory Infections and Inflammations with MCC	35	$187,996	+166%	$11,107
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	33	$75,684	+54%	$7,239
470 Major Hip and Knee Joint Replacement or Reattachment of...	31	$123,984	+33%	$13,130
682 Renal Failure with MCC	24	$111,055	+68%	$10,320
280 Acute Myocardial Infarction, Discharged Alive with MCC	21	$99,649	+31%	$10,511
308 Cardiac Arrhythmia and Conduction Disorders with MCC	19	$135,601	+139%	$8,480
322 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$198,160	+73%	$12,720
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$67,865	+69%	$5,776
689 Kidney and Urinary Tract Infections with MCC	19	$75,273	+47%	$7,759
189 Pulmonary Edema and Respiratory Failure	18	$111,188	+93%	$8,674
683 Renal Failure with CC	18	$57,244	+41%	$6,141
309 Cardiac Arrhythmia and Conduction Disorders with CC	17	$56,424	+56%	$5,319
690 Kidney and Urinary Tract Infections without MCC	17	$47,794	+26%	$5,736
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$69,582	+38%	$6,576
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	16	$318,393	+47%	$26,274
194 Simple Pneumonia and Pleurisy with CC	15	$81,967	+114%	$5,629
378 Gastrointestinal Hemorrhage with CC	15	$112,777	+132%	$7,177
483 Major Joint or Limb Reattachment Procedures of Upper...	14	$193,719	+53%	$17,349
698 Other Kidney and Urinary Tract Diagnoses with MCC	14	$119,627	+63%	$10,830
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	13	$44,486	+20%	$5,321
069 Transient Ischemia without Thrombolytic	12	$75,160	+49%	$5,723
273 Percutaneous and Other Intracardiac Procedures with MCC	12	$400,456	+87%	$26,918
481 Hip and Femur Procedures except Major Joint with CC	12	$143,882	+43%	$13,523
603 Cellulitis without MCC	12	$66,449	+78%	$5,794
039 Extracranial Procedures without CC/MCC	11	$120,819	+89%	$8,059
190 Chronic Obstructive Pulmonary Disease with MCC	11	$105,006	+108%	$7,795
854 Infectious and Parasitic Diseases with O.R. Procedures with...	11	$199,544	+103%	$13,859
870 Septicemia or Severe Sepsis with MV >96 Hours	11	$765,745	+137%	$53,310

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	142	$107,641	$12,072
Level 4 Musculoskeletal Procedures	125	$69,216	$6,530
Comprehensive Observation Services	121	$31,574	$2,498
Level 1 Endovascular Procedures	117	$58,860	$2,979
Level 4 Urology and Related Services	105	$38,928	$3,157
Level 2 Excision/ Biopsy/ Incision and Drainage	86	$17,906	$1,457
Level 3 Musculoskeletal Procedures	77	$44,935	$2,950
Level 5 Urology and Related Services	76	$45,038	$4,712
Level 3 Endovascular Procedures	67	$134,320	$10,097
Level 3 Electrophysiologic Procedures	63	$258,412	$21,760
Level 2 Upper GI Procedures	39	$17,453	$1,748
Level 3 Pacemaker and Similar Procedures	35	$68,180	$9,801
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	34	$49,703	$3,145
Level 2 Endovascular Procedures	31	$79,901	$5,250
Level 3 Vascular Procedures	30	$40,553	$2,928
Level 3 Excision/ Biopsy/ Incision and Drainage	25	$33,354	$2,527
Level 2 Musculoskeletal Procedures	25	$36,104	$1,476
Level 1 Laparoscopy and Related Services	25	$58,345	$5,300
Level 2 Neurostimulator and Related Procedures	24	$32,346	$6,282
Level 4 Neurostimulator and Related Procedures	24	$83,267	$20,044
Level 6 Musculoskeletal Procedures	21	$121,080	$16,345
Level 4 Endovascular Procedures	18	$146,076	$16,074
Level 2 Vascular Procedures	17	$7,660	$1,471
Level 3 Urology and Related Services	17	$35,744	$1,871
Level 1 Nerve Procedures	17	$37,984	$1,695

Against the Arkansas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), National Park Medical Center charged $168,272 on average, 199% more than the Arkansas average of $56,298, and was paid $13,038 against a state average of $14,253. For Simple Pneumonia and Pleurisy with MCC (DRG 193), National Park Medical Center charged $131,454 on average, 219% more than the Arkansas average of $41,156, and was paid $9,038 against a state average of $9,550. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), National Park Medical Center charged $359,922 on average, 150% more than the Arkansas average of $143,732, and was paid $32,587 against a state average of $34,517. For Heart Failure and Shock with MCC (DRG 291), National Park Medical Center charged $91,417 on average, 146% more than the Arkansas average of $37,089, and was paid $8,728 against a state average of $9,423. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $107,641 was 154% above the state average of $42,388. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $69,216 was 156% above the state average of $27,028. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,574 was 108% above the state average of $15,198. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $58,860 was 301% above the state average of $14,661.

Price-transparency record

CMS's enforcement list records these actions for a hospital named National Park Medical Center in Hot Springs, AR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2025-06-24 (CMS case 5252)
Closure Notice — 2025-09-11 (CMS case 5252)

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.