Baptist Health Medical Center-Hot Springs County
1001 Schneider Drive, Malvern, AR 72104 · 79 Priced Procedures · 74% Patient Recommendation
Typical commercial prices here are +7% above the fair benchmark (1.07×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Cash-Arbitrage Bifurcated Pricer
Baptist Health Medical Center-Hot Springs County maintains elevated commercial insurance contracts (1.07× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 39% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 39% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 74% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
- Captive ER (1.6×) & laboratory (1.5×) services average 1.18× higher multiples than routine shoppable care (1.1×)
- Upper-quartile procedures (Q75 1.22×) jump +21% above the median procedure ratio (Q50 1.01×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Baptist Health Medical Center-Hot Springs County
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 79 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $7,442 | 0.4× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,271 | 0.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $866 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $546 | 0.9× |
| Blood transfusion CPT Code: 36430 | $555 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $441 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $383 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $304 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $273 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $273 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $273 | 0.7× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $219 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $241 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $241 | 0.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $213 | 0.8× |
| Screening mammogram (both breasts) CPT Code: 77067 | $124 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $106 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $106 | 0.9× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $106 | 0.8× |
| Ultrasound, pelvis CPT Code: 76856 | $106 | 0.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $130 | 0.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $106 | 0.8× |
| CT scan, pelvis CPT Code: 72192 | $130 | 0.8× |
| CT scan, sinuses CPT Code: 70486 | $130 | 0.8× |
| CT scan, chest (no contrast) CPT Code: 71250 | $130 | 0.8× |
Audit a Bill or Quote at Baptist Health Medical Center-Hot Springs County (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $6,760
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.7% of gross = $6,760).
Self-Pay Cash Rate ($7,442) Beats Your Bill
Baptist Health Medical Center-Hot Springs County's published 45 CFR § 180 self-pay cash rate is $7,442 (vs. $7,442 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($29,767) is $10,680 above the denoised Fair BaseRate ($19,087) and 2.1× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (22.7% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (35 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baptist Health Medical Center-Hot Springs County.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.