CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Citizens Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,776
about 1.2× the $14,044 Medicare rate · typically $16,433–$16,776
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,456
About the fair price
about $320 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $16,776 This hospital $16,456

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $9,158 Priciest $16,456

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $16,776 (about 1.2× the $14,044 Medicare rate). Citizens Memorial Hospital charges insurers about $16,456 — about the fair price. Located in Bolivar, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,384 - $16,456 17%
Blue Cross Blue Shieldmajor $1,822 - $17,278 13%
Aetnamajor $1,936 - $16,456 14%
Humanamajor $16,456 117%
Ambetter (Centene) $22,462 160%
Health Net $1,516 - $16,456 11%
WellCare $16,949 121%
+ 3 smaller / regional plans $16,456 - $17,278

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1500 N Oakland, Bolivar, MO 65613
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals