Missouri / Citizens Memorial Hospital
CMS certification 260195 · Bolivar, MO · 5 entries in CMS's price-transparency list
Citizens Memorial Hospital: charges and Medicare payments
Citizens Memorial Hospital reported 171 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.21 times what it was paid — among the lower ratios in Missouri, number 54 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 67 stays at an average charge of $35,441, 61% below the national average. It also billed 1,078 outpatient services, charging 5.12 times what Medicare paid.
- 1Medicare inpatient stays 171
- 2Charge ÷ paid, inpatient 2.21×
- 3Rank in MO (highest ratio = 1) 54 of 59
- 4CMS price-transparency actions 5
Inpatient stays
For the 8 DRGs that can be compared with the national average, Citizens Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 67 | $35,441 | -61% | $16,905 |
| 291 Heart Failure and Shock with MCC | 23 | $21,893 | -61% | $11,055 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $26,089 | -55% | $10,490 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $76,052 | -54% | $24,521 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $24,802 | -49% | $8,959 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $29,383 | -61% | $13,653 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $68,924 | -70% | $42,184 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $45,127 | -56% | $18,094 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Citizens Memorial Hospital charged $35,441 on average, 51% less than the Missouri average of $72,886, and was paid $16,905 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Citizens Memorial Hospital charged $21,893 on average, 53% less than the Missouri average of $46,468, and was paid $11,055 against a state average of $10,539. For Pulmonary Edema and Respiratory Failure (DRG 189), Citizens Memorial Hospital charged $26,089 on average, 51% less than the Missouri average of $53,702, and was paid $10,490 against a state average of $10,787. For Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/ (DRG 321), Citizens Memorial Hospital charged $76,052 on average, 44% less than the Missouri average of $135,339, and was paid $24,521 against a state average of $23,263. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,558 was 10% below the state average of $10,642. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,383 was 15% below the state average of $20,571. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $36,721 was 30% below the state average of $52,262. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,790 was 39% below the state average of $2,933.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Citizens Memorial Hospital in Bolivar, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-06-23 (CMS case 161)
- CAP Request — 2021-12-01 (CMS case 161)
- Closure Notice — 2023-03-02 (CMS case 161)
- Warning Notice — 2024-08-23 (CMS case 2482)
- Closure Notice — 2024-12-03 (CMS case 2482)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.