Citizens Memorial Hospital

Bolivar, MO

Posts prices for 51 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 6 matching MRF lines
$1,888.80–$7,073.10 $2,361–$8,841.38 varies
Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines
$2,426.20–$4,275.10 $3,032.75–$5,343.87 varies
Knee arthroscopy with meniscectomy (29881)
range across 2 matching MRF lines
$3,423.30–$4,907.20 $4,279.13–$6,134 varies
Tonsillectomy and adenoidectomy (under age 12) (42820)
range across 2 matching MRF lines
$1,055.20–$11,813.20 $1,319–$14,766.50 varies
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$1,436–$3,312.60 $1,795–$4,140.75 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 5 matching MRF lines
$861.40–$3,099.90 $1,076.75–$3,874.87 varies
Diagnostic colonoscopy (45378)
range across 5 matching MRF lines
$745.60–$4,907.20 $932–$6,134 varies
Colonoscopy with biopsy (45380)
range across 6 matching MRF lines
$820.30–$5,152.80 $1,025.37–$6,441 varies
Colonoscopy with lesion removal (45385)
range across 5 matching MRF lines
$1,436–$6,199.80 $1,795–$7,749.75 varies
Laparoscopic gallbladder removal (47562)
range across 2 matching MRF lines
$3,539.60–$9,053.20 $4,424.50–$11,316.50 varies
Inguinal hernia repair (age 5+) (49505)
range across 3 matching MRF lines
$4,287.30–$8,574.60 $5,359.12–$10,718.25 varies
Laparoscopic radical prostatectomy (55866) $12,573 $15,716.25 1.2×
Obstetric care, VBAC delivery (global) (59610) $3,489.60 $4,362 —
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$488–$640.80 $610–$801 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$1,198.40–$2,396.80 $1,498–$2,996 varies
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 3 matching MRF lines
$400–$963.20 $500–$1,204 varies
Cataract removal with lens insertion (66984)
range across 5 matching MRF lines
$883.20–$6,938.60 $1,104–$8,673.25 varies
CT head/brain without contrast (70450)
range across 3 matching MRF lines
$2,095.20–$2,105.20 $2,619–$2,631.50 varies
MRI brain without contrast (70551)
range across 3 matching MRF lines
$520–$2,734.60 $650–$3,418.25 varies
MRI brain with contrast (70552) $3,270.20 $4,087.75 9.4×
MRI brain without and with contrast (70553) $3,900 $4,875 11.2×
X-ray lower spine, 4+ views (72110)
range across 3 matching MRF lines
$71.20–$636.60 $89–$795.75 varies
MRI lumbar spine without contrast (72148) $2,954.60 $3,693.25 12.4×
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$2,580.40–$2,626 $3,225.50–$3,282.50 varies
MRI lower-extremity joint without contrast (73721)
range across 4 matching MRF lines
$2,766–$5,650.40 $3,457.50–$7,063 varies
CT abdomen and pelvis with contrast (74177) $5,013.20 $6,266.50 14.3×
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$1,375.60–$1,378.80 $1,719.50–$1,723.50 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 4 matching MRF lines
$178.40–$939.40 $223–$1,174.25 varies
Ultrasound, transvaginal (76830)
range across 4 matching MRF lines
$104–$730.60 $130–$913.25 varies
Mammography, one breast (diagnostic) (77065) $536.80 $671 6.2×
Mammography, both breasts (diagnostic) (77066) $690.40 $863 6.2×
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$257.60–$270.60 $322–$338.25 varies
Basic metabolic panel (80048)
range across 4 matching MRF lines
$108–$167.60 $135–$209.50 varies
Comprehensive metabolic panel (80053)
range across 6 matching MRF lines
$52.80–$196.60 $66–$245.75 varies
Obstetric panel (80055) $81.60 $102 1.7×
Lipid panel (80061)
range across 3 matching MRF lines
$104–$165.40 $130–$206.75 varies
Renal function panel (80069)
range across 3 matching MRF lines
$44.80–$69.60 $56–$87 varies
Hepatic function panel (80076)
range across 4 matching MRF lines
$132.80–$203.80 $166–$254.75 varies
PSA, total (84153)
range across 3 matching MRF lines
$80–$157.60 $100–$197 varies
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines
$83.20–$181.80 $104–$227.25 varies
CBC with automated differential (85025)
range across 6 matching MRF lines
$38.40–$97 $48–$121.25 varies
CBC, automated (85027)
range across 3 matching MRF lines
$31.20–$77.60 $39–$97 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$22.40–$56.40 $28–$70.50 varies
Partial thromboplastin time (PTT) (85730)
range across 3 matching MRF lines
$36–$56.40 $45–$70.50 varies
Electrocardiogram (ECG), complete (93000) $84 $105 1.4×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$4,183.20–$4,392.40 $5,229–$5,490.50 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 10 matching MRF lines
$69.40–$492 $86.75–$615 varies
Office visit, new patient (low complexity, ~30 min) (99203) $104.80 $131 0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $126.40 $158 0.9×
Office visit, new patient (high complexity, ~60 min) (99205) $188 $235 1.4×
Office consultation (moderate complexity, ~40 min) (99244) $412.80 $516 3.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (CSV, 62.4 MB) ↓ — captured 2026-08-15

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