CMS Price Transparency Data

X-ray, pelvis

Facility: Citizens Memorial Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 0.9× the $107 Medicare rate · typically $68–$113
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $100 Cash price $78 Hospital's list price $98

How we calculate the fair BaseRate →

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 $112 105%
Blue Cross Blue Shieldmajor $65 - $113 61%
Aetnamajor $112 105%
Humanamajor $112 105%
Ambetter (Centene) $152 142%
Health Net $112 105%
WellCare $115 108%
+ 3 smaller / regional plans $112 - $117

Self-Pay How to get the cash price

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

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Facility Profile & Credentials

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