Hot Springs, AR, 71901
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | vs nat'l | Neg max |
|---|---|---|---|---|---|---|---|---|---|
| behavioral | |||||||||
| Psychoses | MS-DRG | 885 | 3 | $42,798 | $12,839 | $6,044.69 | $9,680.86 | 0.76× | $11,103 |
| inpatient | |||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | $196,499 | $58,950 | $6,940.11 | $11,743 | 0.76× | $20,828 |
| COPD w MCC | MS-DRG | 190 | 6 | $106,725 | $32,017 | $4,620.24 | $7,985.97 | 0.71× | $28,417 |
| COPD w CC | MS-DRG | 191 | 4 | $87,471 | $26,241 | $6,051.68 | $6,270.6 | 0.71× | $9,676.9 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | $92,057 | $27,617 | $4,672.9 | $5,002.87 | 0.71× | $5,332.84 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | $114,972 | $34,492 | $5,810.58 | $5,926.22 | 0.70× | $14,215 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | $57,783 | $17,335 | $4,499.66 | $4,499.66 | 0.67× | $4,499.66 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $159,803 | $47,941 | $5,466.83 | $11,513 | 0.73× | $18,709 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | $99,278 | $29,783 | $5,595.49 | $6,515.07 | 0.67× | $10,507 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | $104,887 | $31,466 | $5,171 | $5,282.09 | 0.68× | $7,195.89 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $133,672 | $40,102 | $6,372.04 | $9,096.69 | 0.71× | $11,540 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | $75,428 | $22,628 | $6,053.23 | $6,252.43 | 0.70× | $7,286.46 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | $34,744 | $10,423 | $4,001.67 | $4,508.52 | 0.73× | $5,015.37 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | $130,609 | $39,183 | $8,379.15 | $8,477.36 | 0.70× | $8,856.84 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | $65,156 | $19,547 | $5,221.77 | $5,596.82 | 0.72× | $8,426.54 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | $37,199 | $11,160 | $4,014.29 | $4,064.59 | 0.66× | $4,187.33 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | $87,649 | $26,295 | $3,061.88 | $6,945.34 | 0.69× | $8,685.78 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | $75,568 | $22,670 | $5,025.75 | $5,025.75 | 0.73× | $5,025.75 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | $67,789 | $20,337 | $4,608.98 | $5,640.94 | 0.70× | $9,060.06 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | $237,004 | $71,101 | $10,580 | $10,580 | 0.70× | $10,580 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | $92,474 | $27,742 | $4,428.12 | $8,517.38 | 0.73× | $63,722 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | $73,539 | $22,062 | $5,471.6 | $5,850.26 | 0.70× | $13,750 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | $182,725 | $54,817 | $8,982.35 | $13,527 | 0.72× | $35,877 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | $95,247 | $28,574 | $5,788.7 | $7,256.45 | 0.70× | $9,083.11 |
| maternity | |||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | $59,474 | $17,842 | $4,610 | $4,610 | 51.1× | $4,610 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | $78,840 | $23,652 | $4,610 | $4,610 | 51.2× | $4,610 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | $48,239 | $14,472 | $1,977 | $1,977 | 21.5× | $1,977 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | $43,307 | $12,992 | $1,977 | $1,977 | 2.1× | $1,977 |
| surgery | |||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | $173,886 | $52,166 | $26,796 | $26,796 | 0.97× | $26,796 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | $144,346 | $43,304 | $29,315 | $29,315 | 1.6× | $29,315 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 3 | $287,452 | $86,236 | $9,072.5 | $26,105 | 0.61× | $39,793 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | $167,096 | $50,129 | $16,102 | $16,257 | 0.70× | $21,252 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 3 | $101,315 | $30,394 | $8,596.8 | $11,518 | 0.70× | $19,057 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | $132,014 | $39,604 | $11,423 | $11,868 | 0.72× | $12,312 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 3 | $112,207 | $33,662 | $9,528.98 | $11,401 | 0.84× | $11,569 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | $127,242 | $38,172 | $25,264 | $29,371 | 0.87× | $41,499 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | $254,196 | $76,259 | $29,773 | $29,773 | 1.0× | $29,773 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | $158,904 | $47,671 | $13,093 | $13,511 | 0.71× | $39,109 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 3 | $334,602 | $100,380 | $20,424 | $20,457 | 0.73× | $20,916 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 3 | $149,623 | $44,887 | $11,961 | $14,199 | 0.70× | $18,280 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 2 | $135,739 | $40,722 | $10,379 | $10,564 | 0.66× | $10,748 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 2 | $105,147 | $31,544 | $7,382.89 | $8,810.06 | 0.72× | $10,237 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | $165,809 | $49,743 | $13,482 | $13,482 | 0.70× | $13,482 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Ambetter | 30 | $7,704.4 |
| UnitedHealthcare | 30 | $8,893.86 |
| Blue Cross Blue Shield | 21 | $10,845 |
| Aetna | 21 | $7,239.75 |
| WellCare | 18 | $7,237.19 |
| Humana | 18 | $8,466.43 |
| summit community care | 3 | $7,355.5 |
| Cigna | 2 | $18,738 |
| veteran family member program | 1 | $4,608.98 |
