Arkansas / St Marys Regional Medical Center
CMS certification 040041 · Russellville, AR · 3 entries in CMS's price-transparency list
St Marys Regional Medical Center: charges and Medicare payments
St Marys Regional Medical Center reported 614 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 7.12 times what it was paid — among the higher ratios in Arkansas, number 3 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: 121 stays at an average charge of $80,343, 11% below the national average. It also billed 587 outpatient services, charging 17.88 times what Medicare paid.
- 1Medicare inpatient stays 614
- 2Charge ÷ paid, inpatient 7.12×
- 3Rank in AR (highest ratio = 1) 3 of 32
- 4CMS price-transparency actions 3
Inpatient stays
For the 22 DRGs that can be compared with the national average, St Marys Regional Medical Center charged more than the national average in 13 (59%). 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 | 121 | $80,343 | -11% | $12,343 |
| 291 Heart Failure and Shock with MCC | 74 | $51,279 | -9% | $8,475 |
| 885 Psychoses | 51 | $36,996 | -16% | $9,213 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $54,953 | -8% | $8,623 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $44,198 | -23% | $8,350 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $120,695 | +18% | $13,416 |
| 177 Respiratory Infections and Inflammations with MCC | 26 | $71,617 | +1% | $10,769 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $51,907 | +6% | $6,630 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $110,941 | +10% | $13,319 |
| 682 Renal Failure with MCC | 21 | $65,214 | -1% | $9,633 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $52,339 | -8% | $8,052 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $161,499 | -1% | $18,232 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $102,374 | +10% | $13,267 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $81,179 | +7% | $10,725 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $150,680 | +32% | $12,523 |
| 683 Renal Failure with CC | 16 | $57,562 | +41% | $6,132 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $39,563 | +10% | $5,099 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $51,798 | +29% | $5,459 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 14 | $146,854 | +6% | $18,398 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $203,160 | -11% | $24,807 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $37,667 | +2% | $5,265 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $52,847 | +3% | $7,682 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 233 | $38,229 | $2,304 |
| Level 3 Musculoskeletal Procedures | 57 | $46,191 | $2,753 |
| Level 3 Vascular Procedures | 50 | $32,317 | $2,711 |
| Level 4 Musculoskeletal Procedures | 44 | $71,190 | $5,975 |
| Level 1 Endovascular Procedures | 44 | $51,385 | $2,731 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 22 | $26,370 | $2,417 |
| Level 2 Vascular Procedures | 22 | $20,654 | $1,362 |
| Level 1 Laparoscopy and Related Services | 21 | $80,960 | $4,908 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $29,614 | $1,275 |
| Level 2 Musculoskeletal Procedures | 20 | $26,306 | $1,367 |
| Level 3 Pacemaker and Similar Procedures | 17 | $76,569 | $9,078 |
| Level 5 Musculoskeletal Procedures | 13 | $82,152 | $11,181 |
| Level 3 Endovascular Procedures | 12 | $120,011 | $8,708 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $60,154 | $2,943 |
Against the Arkansas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Marys Regional Medical Center charged $80,343 on average, 43% more than the Arkansas average of $56,298, and was paid $12,343 against a state average of $14,253. For Heart Failure and Shock with MCC (DRG 291), St Marys Regional Medical Center charged $51,279 on average, 38% more than the Arkansas average of $37,089, and was paid $8,475 against a state average of $9,423. For Psychoses (DRG 885), St Marys Regional Medical Center charged $36,996 on average, 0% less than the Arkansas average of $36,969, and was paid $9,213 against a state average of $10,590. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Marys Regional Medical Center charged $54,953 on average, 34% more than the Arkansas average of $41,156, and was paid $8,623 against a state average of $9,550. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $38,229 was 152% above the state average of $15,198. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $46,191 was 204% above the state average of $15,199. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $32,317 was 122% above the state average of $14,526. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $71,190 was 163% above the state average of $27,028.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Marys Regional Medical Center in Russellville, AR, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-09-19 (CMS case 2552)
- Met Requirements — 2025-06-17 (CMS case 5231)
- Warning Notice — 2026-06-12 (CMS case 8050)
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.