9/100
#2,417 nationally
National Park Medical Center
1910 Malvern Avenue, Hot Springs, AR 71901 · (501) 321-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, National Park Medical Center billed $11.57 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 11.6x
- volume-weighted across all its priced work
- Procedures priced
- 62
- inpatient and outpatient combined
- Rank in AR
- #33
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 3% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 12% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
142 | $107,641 | $12,072 | +72% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
136 | $168,272 | $13,038 | +158% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
125 | $69,216 | $6,530 | +74% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
121 | $31,574 | $2,498 | +62% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
117 | $58,860 | $2,979 | +133% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
105 | $38,928 | $3,157 | +89% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
86 | $17,906 | $1,457 | +78% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
77 | $44,935 | $2,950 | +121% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
76 | $45,038 | $4,712 | +64% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
67 | $134,320 | $10,097 | +99% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$187,996 | $11,107 | +242% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$37,984 | $1,695 | +235% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$36,104 | $1,476 | +222% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$34,783 | $1,559 | +205% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$135,601 | $8,480 | +186% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$765,745 | $53,310 | +185% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$131,454 | $9,038 | +182% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$35,744 | $1,871 | +177% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,660 | $1,471 | -11% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$83,267 | $20,044 | +3% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$32,346 | $6,282 | +23% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$187,904 | $30,129 | +26% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$68,180 | $9,801 | +32% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$44,486 | $5,321 | +46% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$121,080 | $16,345 | +46% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$17,453 | $1,748 | +49% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.