Bolivar Medical Center
901 E Sunflower Rd, Cleveland, MS 38732 · 105 Priced Procedures · 59% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Aligned Regional Benchmark Peer
Bolivar Medical Center prices shoppable and inpatient services (1.2× to 1.0× Medicare, divergence 0.83×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.92× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- 1-Star CMS clinical rating with 59% patient recommendation (64/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Commercial insurance median sits at 0.97× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.14×) jump +18% above the median procedure ratio (Q50 0.97×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Bolivar Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $27,399 | 0.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $16,891 | 0.9× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $16,780 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $15,427 | 0.9× |
| Total hip replacement CPT Code: 27130 | $14,480 | 1.1× |
| Total knee replacement CPT Code: 27447 | $14,480 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $7,404 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,818 | 1.1× |
| Breast lump removal CPT Code: 19120 | $4,416 | 1.1× |
| Inguinal hernia repair CPT Code: 49505 | $4,038 | 1.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,690 | 1.1× |
| Bunion correction surgery CPT Code: 28296 | $3,690 | 1.1× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $3,245 | 21.5× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,603 | 1.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,530 | 1.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,504 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,467 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $998 | 1.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $750 | 1.3× |
| Blood transfusion CPT Code: 36430 | $714 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $479 | 1.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $479 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $328 | 1.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $328 | 1.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $328 | 0.9× |
Audit a Bill or Quote at Bolivar Medical Center (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Bolivar Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($65,758) is $34,983 above the denoised Fair BaseRate ($30,775) and 2.8× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Bolivar Medical Center 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bolivar Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-17·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (192 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bolivar Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.