How many shoppable procedure prices are published for Citizens Memorial Hospital?

Citizens Memorial Hospital in Bolivar, MO currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Citizens Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Citizens Memorial Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Citizens Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Citizens Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 52 Beds · rural Updated: 3/25/2026

Citizens Memorial Hospital

1500 N Oakland, Bolivar, MO 65613 · 123 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 34% of the Time

File Completeness45

Price Logic82

Peer Alignment63

Clean Billing78

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.93× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Citizens Memorial Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#20 of 79 in MO · 24th State Percentile#864 of 3,385 in U.S. · 25th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 34% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 69% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 0.93× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 4,250) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+6% Upper Tail

Q25 0.81× · Q50 0.93× · Q75 0.99×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

34% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at Citizens Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$26,752	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,555	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,456	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,245	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,073	$8,223	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,631	$5,351	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	$3,857	$3,857	$3,629	unverified
Total knee replacement CPT Code: `27447`	$3,620	$3,620	$13,523	unverified
Total hip replacement CPT Code: `27130`	$3,334	$3,334	$13,413	unverified
Bunion correction surgery CPT Code: `28296`	$2,561	$2,561	$3,446	unverified
C-section delivery (full package) CPT Code: `59510`	$3,252	$2,370	$2,975	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,191	$2,191	$3,372	unverified
Vaginal delivery (full package) CPT Code: `59400`	$2,866	$2,119	$2,680	0.8×
Breast lump removal CPT Code: `19120`	$1,889	$1,889	$3,875	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$1,748	$1,748	$86	20.3×
Colonoscopy with biopsy CPT Code: `45380`	$1,436	$1,277	$1,256	unverified
Cataract surgery with lens implant CPT Code: `66984`	$1,149	$1,149	$2,540	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,641	$993	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,641	$968	$987	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,183	$944	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,077	$754	$855	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,825	$455	$369	1.2×
Blood transfusion CPT Code: `36430`	$519	$471	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,620	$374	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,161	$374	$511	0.7×
Review of medical records for care CPT Code: `90889`	$266	$266	$114	2.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$420	$255	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,061	$256	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,612	$256	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,614	$257	$343	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$240	$240	$583	0.4×
Family therapy session CPT Code: `90847`	$246	$189	$173	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$359	$189	$181	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$426	$189	$185	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,158	$188	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,541	$188	$258	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$244	$189	$166	unverified
Neurobehavioral status check CPT Code: `96116`	$160	$160	$231	0.7×
X-ray, shoulder CPT Code: `73030`	$124	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$86	$93	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$92	$93	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$90	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$137	$112	$112	1.0×
X-ray, hand CPT Code: `73130`	$86	$93	$93	1.0×
X-ray, hip CPT Code: `73502`	$90	$93	$93	1.0×
X-ray, ankle CPT Code: `73610`	$86	$93	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$113	$112	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$328	$114	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$129	$112	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,376	$112	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,095	$112	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$2,156	$112	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$2,020	$112	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,244	$112	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,289	$112	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,364	$112	$169	0.7×
Psychological testing by technician CPT Code: `96138`	$132	$132	$395	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$84	$84	$25	3.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$254	$82	$123	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$384	$384	$203	1.9×
Typhoid vaccine HCPCS Code: `90675`	$854	$320	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$203	$203	$111	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$160	$160	$56	2.9×
Drug screening test HCPCS Code: `G0480`	$297	$117	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$127	$127	$140	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$76	$76	$39	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$170	$70	$110	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$44	$44	$25	1.8×
Blood antibody screen CPT Code: `86850`	$104	$56	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$41	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$41	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$176	$63	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$266	$72	$86	0.8×
X-ray, chest (single view) CPT Code: `71045`	$71	$71	$92	0.8×
X-ray, pelvis CPT Code: `72170`	$78	$78	$110	0.7×
Group therapy session CPT Code: `90853`	$65	$65	$100	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$80	$19	$20	0.9×
Prosthetic fitting and training CPT Code: `97761`	$96	$38	$45	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$114	$32	$38	0.8×
Orthotic fitting and training CPT Code: `97760`	$126	$42	$51	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$143	$56	$87	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$433	$45	$148	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$56	$56	$201	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	$160	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$121	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$157	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$109	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$314	$30	$31	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$258	$34	$123	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$49	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$101	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$38	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$49	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$71	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$45	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$76	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$37	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$14	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$50	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$65	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$83	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$150	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$128	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$102	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$145	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$89	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$194	$8	$9	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$102	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$43	$23	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$252	$33	$40	0.8×
Physical therapy (gait training) CPT Code: `97116`	$116	$27	$33	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	$24	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$145	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$113	$30	$38	0.8×
Psychological testing evaluation CPT Code: `96136`	$30	$30	$128	0.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$126	$27	$35	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$95	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$142	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$30	$2	$3	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$27	$27	$49	0.6×

Showing top 25 high-impact procedures of 123 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Citizens Memorial Hospital (Zero PHI Required)

CMS CCN: 260195

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $26,752

1. Amount on Your Bill or Quote ($) Pre-filled with Citizens Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Citizens Memorial Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$33,430 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($64,205) is $33,430 above the denoised Fair BaseRate ($30,775) and 2.7× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Citizens Memorial Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait185 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Citizens Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-12-03·administrative_or_closure
Closure Notice
Recorded
2024-08-23·warning_notice
Warning Notice
Recorded
2023-03-02·administrative_or_closure
Closure Notice
Recorded
2021-12-01·cap_corrective_action
CAP Request
Recorded
2021-06-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (365 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Citizens Memorial Hospital.

Price Index: 0.95× regional baseline

Quality: 56/100 CMS composite

Median Household Income$56,686U.S. Census ACS

Local Uninsured Share14.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 260195

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 260195) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage3/25/2026 · 59.49 MB

Validated Rate Rows1,271 (CMS v3.0.0)

File Integrity DigestVerified · CCN 260195

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy