National Park Medical Center
1910 Malvern Avenue, Hot Springs, AR 71901 · 85 Priced Procedures · 60% Patient Recommendation
Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.91× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
National Park Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.90× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 0.99× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
- Self-pay cash beats commercial insurance on 10% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 60% patient recommendation (55/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.91× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (1.4×) & laboratory (4.0×) services average 1.20× higher multiples than routine shoppable care (1.0×)
- Even at low-cost facilities (0.91× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Consolidated metro market (HHI 6,025) 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 National Park Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $20,953 | 0.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $13,527 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $13,511 | 0.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $13,045 | 0.7× |
| Total hip replacement CPT Code: 27130 | $12,900 | unverified |
| Total knee replacement CPT Code: 27447 | $12,845 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,641 | 0.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,467 | 0.9× |
| Breast lump removal CPT Code: 19120 | $3,641 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $3,602 | unverified |
| Bunion correction surgery CPT Code: 28296 | $3,056 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,806 | 0.8× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,139 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $972 | 4.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $891 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $867 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $547 | 0.9× |
| Blood transfusion CPT Code: 36430 | $421 | 0.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $367 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $367 | 0.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $304 | 0.9× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $276 | 1.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $241 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $258 | 0.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $230 | 0.8× |
Audit a Bill or Quote at National Park Medical Center (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($42,495) Beats Your Bill
National Park Medical Center's published 45 CFR § 180 self-pay cash rate is $42,495 (vs. $20,953 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($141,650) is $110,875 above the denoised Fair BaseRate ($30,775) and 6.0× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify National Park Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at National Park Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-09-11·administrative_or_closure
Closure Notice
Recorded - 2025-06-24·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (706 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 National Park Medical Center.
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.