For-profit hospital · not bound by 501(r), but still negotiable

St Marys Regional Medical Center — financial assistance and billing help

1808 West Main Street, Russellville, AR 72801 · Pope County

The short answer

St Marys Regional Medical Center is a for-profit hospital, so the federal Section 501(r) financial assistance rules do not apply to it. That does not mean you have no options: most large for-profit systems run their own uninsured discount and charity care programs, EMTALA still governs emergency care, the No Surprises Act still applies, and every hospital bill remains negotiable. Your leverage here is the discount policy and the gap between the sticker price and what the hospital actually accepts.

The federal record for this hospital

Every field below comes from the federal hospital registry — useful both for checking you have the right facility and for addressing a letter correctly.

Legal name on fileSt Marys Regional Medical Center
Address1808 West Main Street, Russellville, AR 72801
Telephone(479) 968-2841
Facility typeAcute Care Hospitals
OwnershipProprietary
Emergency departmentYes — EMTALA emergency screening and stabilisation rules apply
CMS overall rating4 out of 5 stars
Medicare CCN040041

Source: CMS Hospital General Information (Provider Data Catalog, dataset xubh-q36u), published 2026-05-13. If a detail here is out of date, the hospital's own billing office is authoritative — and we would like to know: support@billstand.com.

What this hospital is required to do

  • Treat and stabilise you in an emergency. Under EMTALA, any hospital with an emergency department must screen and stabilise an emergency condition regardless of ability to pay.
  • Honour the No Surprises Act. You are protected from most surprise out-of-network billing for emergency care and for out-of-network clinicians treating you at an in-network facility, and self-pay patients can request a good faith estimate in advance.
  • Give you an itemized bill. You are entitled to a fully itemized statement listing every charge with its procedure code.
  • Follow federal collection law. Once the account is with a third-party collector, the FDCPA applies — including your right to demand written validation before they can keep pressing you.

Where your leverage is. Ask in writing for the uninsured or self-pay discount policy and the financial assistance program, and anchor your request in what this hospital is actually paid for the same care rather than in what it billed. For-profit hospitals negotiate constantly; they simply do not volunteer it.

What St Marys Regional Medical Center bills, and what it is actually paid

These are federal figures for this specific hospital: the average amount it submitted to Medicare for a stay, next to the average amount it was actually paid. The gap is not a scandal — no hospital collects its list price from anyone — but it is the reason a sticker-price bill is a starting point rather than a final number.

For its most common inpatient stay, St Marys Regional Medical Center billed about $80,343 and was paid about $12,343 — roughly 6.5 times less than the amount on the bill.

Most common inpatient stays at St Marys Regional Medical Center, 2024 Medicare data
Type of stayAverage billedAverage paidRatio
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871 · 121 Medicare stays $80,343 $12,343 6.5×
Heart failure and shock with MCCMS-DRG 291 · 74 Medicare stays $51,279 $8,475 6.1×
PsychosesMS-DRG 885 · 51 Medicare stays $36,996 $9,213
Simple pneumonia and pleurisy with MCCMS-DRG 193 · 34 Medicare stays $54,953 $8,623 6.4×
Pulmonary edema and respiratory failureMS-DRG 189 · 28 Medicare stays $44,198 $8,350 5.3×
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522 · 27 Medicare stays $120,695 $13,416
Respiratory infections and inflammations with MCCMS-DRG 177 · 26 Medicare stays $71,617 $10,769 6.7×
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872 · 24 Medicare stays $51,907 $6,630 7.8×

Source: CMS Medicare Inpatient Hospitals — by Provider and Service, 2024 data, published 2026-04-23. These figures cover Medicare patients at this hospital and are not a quote for your care — use them as a documented benchmark, not a prediction.

How to ask St Marys Regional Medical Center for help — in writing

  1. Ask for the documents by name. Request the financial assistance policy, the application form, the plain-language summary, and the uninsured or self-pay discount policy. Naming the documents matters — a general request for "help with my bill" gets a payment plan offer instead.
  2. Ask for a fully itemized statement with every charge and its procedure code, for the dates of service on your bill.
  3. Ask for the account to be held. Request in writing that no late fees, interest, credit reporting or collections referral occur while your application or dispute is pending.
  4. Send it certified with return receipt — roughly $9 at USPS. Proof of delivery is what makes a deadline enforceable later.
  5. Give a deadline and follow up. Ask for a written response within 30 days, and if none arrives, send a shorter second notice referencing the first by date.

Do not agree to a payment plan on the phone before the amount itself is resolved. A plan converts a disputed bill into an admitted debt you have started paying.

Questions about St Marys Regional Medical Center bills

Does St Marys Regional Medical Center offer financial assistance?

St Marys Regional Medical Center is a for-profit hospital, so it is not federally required to have a financial assistance policy — but most for-profit systems operate uninsured discount and charity care programs anyway. Ask in writing for both the self-pay discount policy and any financial assistance program.

How do I get an itemized bill from St Marys Regional Medical Center?

Request it in writing from the billing office, referencing your account number and dates of service, and ask for every charge with its procedure code. The first statement you receive is usually a summary, and you cannot dispute charges you cannot see. The number in the federal registry for this hospital is (479) 968-2841, but put the request in writing so there is a record of it.

How long do I have before St Marys Regional Medical Center can send my bill to collections?

Federal Section 501(r) deadlines apply to nonprofit hospitals, so they may not bind this facility. Ask the billing office in writing to confirm its collections timeline and to place the account on hold while any assistance application or dispute is pending.

Is the bill from St Marys Regional Medical Center negotiable?

Hospital charges are not fixed prices — insurers pay a fraction of the listed amount every day. Federal data shows this hospital was paid roughly 6.5 times less than it billed for its most common inpatient stay. A specific, written request — a self-pay discount, a financial assistance review, or a dispute of incorrect charges — is what a billing department can act on.

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