Academic, community, and surgery center — models, not named logos. Commercial multiples follow RAND-style state relatives. Maryland is the all-payer exception. Arkansas is the low-price floor.
Arkansas: commercial ≈ 1.64× Medicare · wage index 0.79 · quality baseline 58/100. RAND-low commercial multiple — often the US floor.
Tertiary / teaching flagship (model). More capability, more market power.
$18,484 cashInsured $21,134 · quality 68CommunityFull-service community hospital (model). The default local option.
$15,281 cashInsured $16,584 · quality 58Surgery centerAmbulatory surgery center (model). Best cash shop for scheduled procedures — not births or inpatient chemo.
$10,162 cashInsured $12,289 · quality 63