82/100
#289 nationally
Citizens Memorial Hospital
1500 N Oakland, Bolivar, MO 65613 · (417) 326-6000
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Citizens Memorial Hospital billed $3.39 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 28
- inpatient and outpatient combined
- Rank in MO
- #5
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 86% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 83% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
181 | $9,558 | $2,099 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
126 | $17,383 | $2,434 | -11% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
104 | $36,721 | $11,739 | -41% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
86 | $1,790 | $612 | -43% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
75 | $6,403 | $1,834 | -50% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
71 | $9,248 | $1,739 | -19% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
67 | $35,441 | $16,905 | -46% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
45 | $22,870 | $2,893 | -9% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
44 | $22,378 | $6,443 | -44% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
41 | $5,904 | $1,460 | -41% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,065 | $1,713 | -6% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$22,870 | $2,893 | -9% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,383 | $2,434 | -11% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$20,026 | $3,116 | -14% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$15,730 | $2,870 | -18% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,248 | $1,739 | -19% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$9,558 | $2,099 | -19% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$52,060 | $9,899 | -23% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$68,924 | $42,184 | -61% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$29,383 | $13,653 | -52% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,403 | $1,834 | -50% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$21,893 | $11,055 | -50% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$45,127 | $18,094 | -47% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$76,052 | $24,521 | -47% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$26,089 | $10,490 | -46% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$35,441 | $16,905 | -46% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.