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Citizens Memorial Hospital District

Citizens Memorial Healthcare
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Hospital Overview
Facility Details

CCN

260195

NPI

1003981549

Type

Short Term Acute Care Hospital

Ownership

Government - Hospital District Or Authority

Beds

86

Contact Information

Address

1500 North Oakland Avenue

Bolivar, MO 65613

Phone

(417) 326-6000

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

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.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Pharmacy - Extension of 025X

Range: 0630 - 0639

Percentage of Bill Charged

Aetna

Facility

RC

Nursery

Range: 0170 - 0179

Percentage of Bill Charged

Aetna

Facility

RC

Laboratory Pathology

Range: 0310 - 0319

Percentage of Bill Charged

Aetna

Outpatient

CPT

Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

National Codes Established for State Medicaid Agencies

Range: T1000 - T5999

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board Ward

Range: 0150 - 0159

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Miscellaneous Medical Services

Range: M0075 - M0301

Percentage of Bill Charged

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

Aetna

Facility

RC

All-inclusive Rate

Range: 0100 - 0109

Percentage of Bill Charged

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