West Tennessee Healthcare · Bolivar, TN
27
In-network payers
559
Disclosed rate categories
51
Beds
Bolivar Hospital is a 51-bed hospital in Bolivar, TN, affiliated with West Tennessee Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 559 disclosed rate categories.
CCN (Medicare provider number)
440181
NPI
1518957950
Type
Critical Access Hospital
Beds
51
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Bolivar Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Cardiology and vascular testing
CPT 93306
$417 - $1,942
from 2 insurers · median $1,180
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,464 - $2,839
from 4 insurers · median $2,187
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,041 - $3,158
from 3 insurers · median $2,198
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,085 - $2,749
from 3 insurers · median $2,198
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$147 - $301
from 2 insurers · median $224
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$6,706 - $10,570
from 4 insurers · median $7,895
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,325 - $10,079
from 4 insurers · median $9,833
Typical for a hospital with this service line
Mammography
CPT 77067
$160 - $174
from 2 insurers · median $167
Typical for a hospital with this service line
CT imaging
CPT 74176
$319 - $765
from 2 insurers · median $542
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,102 - $2,617
from 4 insurers · median $2,006
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,353 - $6,007
from 4 insurers · median $3,104
Typical for a hospital with this service line
CT imaging
CPT 74177
$425
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58661
$7,475 - $10,088
from 3 insurers · median $8,325
Typical for a hospital with this service line
Ultrasound
CPT 76705
$233 - $524
from 2 insurers · median $378
Typical for a hospital with this service line
CT imaging
CPT 71260
$231 - $659
from 2 insurers · median $445
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,076 - $8,927
from 4 insurers · median $5,478
Typical for a hospital with this service line
Gynecology
CPT 58662
$7,456 - $8,727
from 3 insurers · median $8,325
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,076 - $8,032
from 3 insurers · median $4,316
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$9,151 - $19,212
from 4 insurers · median $12,067
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93971
$188 - $765
from 2 insurers · median $477
Typical for a hospital with this service line
Urology
CPT 50590
$4,592 - $10,941
from 3 insurers · median $8,325
Typical for a hospital with this service line
Ultrasound
CPT 76830
$233 - $650
from 2 insurers · median $442
Typical for a hospital with this service line
CT imaging
CPT 70450
$263
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$901 - $4,275
from 2 insurers · median $2,588
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 246% | 8 | 3 |
| Insurer B* | 16 | 158% | 7 | 8 |
| Insurer C* | 13 | 135% | 8 | 5 |
| Insurer D* | 13 | 126% | 11 | 1 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Bolivar Hospital.
650 Nuckolls Road, Bolivar, TN 38008
7316583100
The nearest hospitals of similar type and size. Their rates are compared with Bolivar Hospital for the same insurers and services above.
Baptist Memorial Hospital - Collierville
▼ Rates typically 21% lower than Bolivar Hospital (24 services)
Baptist Memorial Hospital - Tipton
▼ Rates typically 25% lower than Bolivar Hospital (24 services)
Henderson County Hospital
▼ Rates typically 6% lower than Bolivar Hospital (24 services)
Hardin Medical Center
▼ Rates typically 39% lower than Bolivar Hospital (24 services)
Methodist Olive Branch Hospital
▼ Rates typically 10% lower than Bolivar Hospital (22 services)
North Mississippi Medical Center - Iuka
▲ Rates typically 46% higher than Bolivar Hospital (24 services)
Camden General Hospital
Johnson County Community Hospital
Marshall Medical Center
Ascension Saint Thomas Hickman Hospital
About Bolivar Hospital's rates and hospital price transparency.
For CT of the abdomen and pelvis, without contrast (CPT 74176), published negotiated rates at Bolivar Hospital range from $319 to $765 across 2 insurers. Aetna's rate is $319. The median at nearby comparable hospitals is $440. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Bolivar Hospital range from $2,041 to $3,158 across 3 insurers. Aetna's rate is $3,158. The median at nearby comparable hospitals is $1,853. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Bolivar Hospital range from $160 to $174 across 2 insurers. Cigna's rate is $160. The median at nearby comparable hospitals is $129. What a patient pays depends on their plan's deductible, coinsurance and network status.
Bolivar Hospital has 51 beds. Facility type: Critical Access Hospital.
Bolivar Hospital is located at 650 Nuckolls Road, Bolivar, TN 38008. Its main phone number is 7316583100.
Bolivar Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 440181.
The National Provider Identifier (NPI) on file for Bolivar Hospital is 1518957950.
Bolivar Hospital is affiliated with West Tennessee Healthcare.
Bolivar Hospital lists 27 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
559 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers