How many shoppable procedure prices are published for West Tennessee Healthcare Bolivar Hospital?

West Tennessee Healthcare Bolivar Hospital in Bolivar, TN currently has 95 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do West Tennessee Healthcare Bolivar Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, West Tennessee Healthcare Bolivar Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-06-02

West Tennessee Healthcare Bolivar Hospital

650 Nuckolls Road, Bolivar, TN 38008 · 95 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness66

Price Logic91

Peer Alignment75

Clean Billing85

Real Cash Discount100

Premium Quality Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

West Tennessee Healthcare Bolivar Hospital maintains elevated commercial insurance contracts (1.19× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 54% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#72 of 84 in TN · 84th State Percentile#1,985 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.04× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (83/100 safety score) with 72% 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)

Even at low-cost facilities (1.19× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.20× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 7.1× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.87× Divergence

1.3× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 1.04× · Q50 1.20× · Q75 1.26×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.1× MedicareGood

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

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 83/100Good

Procedure Prices at West Tennessee Healthcare Bolivar Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 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`	—	$38,649	$30,775	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,556	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,760	$17,936	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,079	$19,087	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,683	$8,223	0.8×
Breast lump removal CPT Code: `19120`	$2,495	$4,504	$3,875	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,053	$1,293	$1,021	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$653	$1,299	$855	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,206	$581	$583	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$341	$528	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$201	$496	$448	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$560	$373	$272	1.4×
Rabies immune globulin HCPCS Code: `90375`	$794	$393	$322	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$215	$340	$343	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$215	$334	$338	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$187	$354	$369	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$149	$303	$303	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$124	$274	$258	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$124	$252	$242	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$119	$188	$86	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$201	$212	$148	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$117	$175	$123	1.4×
CT scan, sinuses CPT Code: `70486`	$119	$200	$166	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$240	$165	$132	1.3×
CT scan, pelvis CPT Code: `72192`	$119	$187	$163	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$119	$188	$167	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$119	$190	$169	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$119	$188	$168	1.1×
Blood transfusion CPT Code: `36430`	$209	$193	$498	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$426	$160	$134	1.2×
Ultrasound, pelvis CPT Code: `76856`	$272	$155	$130	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$314	$141	$126	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$119	$162	$160	1.0×
Orthotic fitting and training CPT Code: `97760`	$35	$115	$51	2.3×
X-ray, hip CPT Code: `73502`	$154	$105	$93	1.1×
X-ray, lower back CPT Code: `72110`	$272	$122	$112	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$46	$89	$40	2.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$34	$83	$38	2.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$30	$82	$38	2.2×
Occupational therapy (self-care training) CPT Code: `97535`	$27	$80	$38	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$168	$97	$93	1.0×
X-ray, hand CPT Code: `73130`	$156	$97	$93	1.0×
X-ray, ankle CPT Code: `73610`	$154	$96	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$166	$94	$92	1.0×
X-ray, foot CPT Code: `73630`	$157	$94	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$150	$91	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$144	$88	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$148	$102	$110	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$86	$86	$201	0.4×
Prosthetic fitting and training CPT Code: `97761`	$40	$101	$45	unverified
Typhoid vaccine HCPCS Code: `90675`	$483	$445	$347	1.3×
Drug screening test HCPCS Code: `G0480`	$44	$146	$116	1.3×
Physical therapy (gait training) CPT Code: `97116`	$31	$72	$33	2.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$37	$72	$35	2.1×
Physical therapy (manual therapy) CPT Code: `97140`	$39	$66	$34	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$77	$77	$110	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$17	$51	$48	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$71	$37	$35	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$17	$51	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$17	$51	$49	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$54	$54	$87	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$68	$68	$123	0.6×
Blood test, vitamin D CPT Code: `82306`	$50	$38	$31	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$44	$44	$86	unverified
Blood test, calcium CPT Code: `82310`	$14	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$20	$8	$6	1.3×
Blood test, lipase CPT Code: `83690`	$35	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$20	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$12	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$22	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$55	$10	$8	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$48	$25	$20	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$37	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$40	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$41	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$30	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$48	$23	$19	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$23	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$12	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$29	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$40	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$30	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$54	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$42	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$31	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	$30	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$38	$10	$9	1.1×
Blood test, hemoglobin CPT Code: `85018`	$11	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$15	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$32	$22	$25	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$56	$45	$56	0.8×
Blood antibody screen CPT Code: `86850`	$35	$12	$46	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$142	$16	$64	0.3×

Showing top 25 high-impact procedures of 95 total

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

Audit a Bill or Quote at West Tennessee Healthcare Bolivar Hospital (Zero PHI Required)

CMS CCN: 441320

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $38,649

1. Amount on Your Bill or Quote ($) Pre-filled with West Tennessee Healthcare Bolivar 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 West Tennessee Healthcare Bolivar 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 +$61,983 Above Fair BaseRate

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

Your bill ($92,758) is $61,983 above the denoised Fair BaseRate ($30,775) and 3.9× 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 West Tennessee Healthcare Bolivar 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

Safety Composite83/100

Median ER Wait128 min

Left ER Before Seen1%

Source: CMS Hospital Care Compare. 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for West Tennessee Healthcare Bolivar Hospital.

Price Index: 1.08× regional baseline

Quality: 56/100 CMS composite

Median Household Income$46,173U.S. Census ACS

Local Uninsured Share8.3%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 83/100 · Corroborated CMS CCN 441320

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 441320) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-02

Validated Rate Rows1,247 (CMS v3.0.0)

File Integrity DigestVerified · CCN 441320

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