Citizens Memorial Healthcare · Bolivar, MO
3 of 5
CMS star rating
72
Beds
2,514
Inpatient discharges a year
$218.8M
Net patient revenue a year
36
In-network payers
Citizens Memorial Hospital District is a 72-bed government - hospital district or authority hospital in Bolivar, MO, affiliated with Citizens Memorial Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 194 disclosed rate categories.
The 24 services Citizens Memorial Hospital District 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.
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CT imaging
CPT 74177
$2,051 - $5,327
from 4 insurers · median $2,568
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,653 - $6,000
from 2 insurers · median $4,826
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,859 - $6,973
from 2 insurers · median $6,916
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 70450
$683 - $1,966
from 4 insurers · median $1,171
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,047 - $4,322
from 4 insurers · median $2,210
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,004 - $4,144
from 4 insurers · median $2,348
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$1,301 - $2,744
from 4 insurers · median $1,508
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,955 - $11,243
from 4 insurers · median $10,780
36 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$993 - $2,144
from 4 insurers · median $1,093
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,344 - $5,339
from 4 insurers · median $3,496
181 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Mammography
CPT 77067
$174 - $224
from 4 insurers · median $190
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,456 - $5,843
from 4 insurers · median $5,621
36 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$2,603 - $4,886
from 4 insurers · median $3,037
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,375 - $1,933
from 4 insurers · median $1,671
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$4,955 - $12,552
from 4 insurers · median $12,035
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,469 - $4,199
from 4 insurers · median $2,308
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$1,559 - $2,951
from 4 insurers · median $1,593
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,287 - $5,182
from 4 insurers · median $1,812
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$25 - $194
from 4 insurers · median $156
Typical for a hospital with this service line
Ultrasound
CPT 76705
$398 - $751
from 4 insurers · median $487
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,816 - $6,154
from 4 insurers · median $5,741
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,050 - $5,182
from 4 insurers · median $1,209
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,857 - $7,146
from 4 insurers · median $4,350
17 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,653 - $6,000
from 2 insurers · median $4,826
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
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 | 424% | 8 | 12 |
| Insurer B* | 21 | 369% | 18 | 2 |
| Insurer C* | 24 | 223% | 17 | 3 |
| Insurer D* | 21 | 198% | 7 | 3 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 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 Citizens Memorial Hospital District, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$218.8M net patient revenue
Ownership and leadership
Owned by Citizens Memorial Hospital District
The employer identification numbers (EINs) health plans and networks list for Citizens Memorial Hospital District in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 43-1142176Citizens Memorial Hospital | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1558548818 Citizens Memorial Hospital District1003981549 Citizens Memorial Hospital District1376672238 Citizens Memorial Health Care Foundationand 12 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1500 North Oakland Avenue, Bolivar, MO 65613
(417) 326-6000
How Citizens Memorial Hospital District compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 7 measures
1 better, 5 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
71%
Lower than 49% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.96
Lower than 53% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
186 min
Higher than 73% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
62%
Lower than 57% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Mixed on 7 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 71% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.96 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 186 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 62% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Citizens Memorial Hospital District's inpatient payments for its readmissions, quality and cost results.
-0.32% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.17% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Citizens Memorial Hospital District, beside the US median and the average of MO hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.203 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 763 cases | 4.4 | 3.9 | 3.991 | Worse than 72% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 75 cases | 12.1 | 11.8 | 11.96 | Worse than 60% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.622 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.708 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 70 cases | 12.2 | 11 | 11.68 | Worse than 73% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 66 cases | 16.7 | 15.2 | 15.5 | Worse than 72% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 40 cases | 9.2 | 11.6 | 12.03 | Better than 91% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 558 cases | 0.47 | 0.51 | 0.5582 | No Different Than the National Rate | Better than 57% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 181 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 866 cases | 0.2 | 0.2 | 0.2094 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 826 cases | 0.26 | 0.27 | 0.2774 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 255 cases | 2.24 | 2.29 | 2.312 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 90 cases | 1.66 | 1.63 | 1.619 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 86 cases | 10.91 | 8.88 | 9.849 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 271 cases | 3.02 | 3.4 | 3.388 | No Different Than the National Rate | Better than 80% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 80 cases | 5.01 | 5.105 | 5.071 | No Different Than the National Rate | Better than 58% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 60 cases | 1.72 | 1.72 | 1.763 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 131 cases | 1.02 | 1.02 | 1.029 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 68 cases | 1 | 4.2 | 5.15 | Better than 55% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 72 cases | -47.5 | 1.25 | 2.001 | Better than 96% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 64 cases | -41.3 | 3.85 | 0.788 | Better than 96% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 748 cases | 11.8 | 12.9 | 13.12 | No Different Than the National Rate | Better than 93% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.22 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.318 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 273 cases | 1.1 | 1 | 0.9815 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 123 cases | 12.7 | 14.4 | 14.32 | Better than 98% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.43 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 82 cases | 18.6 | 19.8 | 20.11 | Better than 93% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 135 cases | 19.2 | 21.3 | 21.62 | Better than 96% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.12 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 135 cases | 16.3 | 17.2 | 17.28 | Better than 86% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.28 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.027 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 889 | 1,370 | 4,135 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.557 | 0.9835 | 4.122 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.604 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6608 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2046 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.947 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,792 | 1,799 | 3,878 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.921 | 1.377 | 4.807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.413 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5467 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3088 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.21 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 33 | 61 | 126 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.914 | 1.591 | 3.466 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.877 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8248 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2664 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.522 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 11 | 38 | 93.8 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.095 | 0.328 | 0.829 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.8929 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.061 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2979 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.478 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 8,847 | 14,451 | 41,352 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.327 | 0.567 | 2.861 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.978 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8703 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.019 | 0.127 | 0.1657 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.895 | 0.747 | 1.229 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 8,847 | 13,646 | 38,342 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.602 | 5.683 | 24.41 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 8.022 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.384 | 0.279 | 0.3843 | No Different than National Benchmark | Worse than 64% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 369 cases | 79 | 73 | 72.59 | Better than 72% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 369 cases | 3 | 8 | 9.344 | Better than 87% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 369 cases | 18 | 18 | 18.06 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 92 | 87 | 85.78 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 369 cases | 5 | 4 | 3.297 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 369 cases | 78 | 80 | 79.3 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 91 | 91 | 91.27 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 369 cases | 4 | 4 | 3.882 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 369 cases | 3 | 3 | 3.392 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 369 cases | 18 | 16 | 16.82 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 369 cases | 81 | 79 | 79.32 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 93 | 91 | 90.65 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 369 cases | 3 | 5 | 5.032 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 369 cases | 4 | 3 | 3.095 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 369 cases | 16 | 16 | 15.65 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 369 cases | 61 | 61 | 60.96 | Worse than 47% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 79 | 77 | 76.66 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 369 cases | 16 | 19 | 18.89 | Better than 69% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 369 cases | 3 | 3 | 2.689 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 369 cases | 23 | 19 | 20.15 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 87 | 86 | 86.27 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 369 cases | 13 | 13 | 13.38 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 369 cases | 4 | 3 | 3.432 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 369 cases | 87 | 87 | 86.62 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 369 cases | 12 | 14 | 14.94 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 369 cases | 88 | 86 | 85.06 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 369 cases | 73 | 74 | 73.49 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 369 cases | 5 | 7 | 6.488 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 369 cases | 22 | 19 | 20.02 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 369 cases | 81 | 77 | 77.34 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 369 cases | 3 | 6 | 5.549 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 369 cases | 16 | 17 | 17.11 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 369 cases | 90 | 85 | 85.12 | Better than 83% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 369 cases | 2 | 3 | 3.463 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 369 cases | 8 | 11 | 11.41 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 369 cases | 7 | 8 | 7.366 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 369 cases | 22 | 20 | 20.41 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 369 cases | 71 | 72 | 72.23 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 88 | 88 | 88.41 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 369 cases | 3 | 3 | 3.405 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 369 cases | 73 | 74 | 73.17 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 369 cases | 6 | 9 | 9.915 | Better than 79% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 369 cases | 21 | 16 | 16.91 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 369 cases | 70 | 75 | 73.79 | Worse than 80% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 369 cases | 5 | 5 | 5.598 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 369 cases | 25 | 20 | 20.61 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 369 cases | 75 | 77 | 75.55 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 369 cases | 4 | 4 | 4.585 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 369 cases | 21 | 19 | 19.87 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 369 cases | 87 | 86 | 85.67 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 369 cases | 3 | 3 | 2.427 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 369 cases | 10 | 11 | 11.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 369 cases | 51 | 59 | 60.98 | Worse than 77% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 369 cases | 14 | 9 | 8.344 | Worse than 76% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 369 cases | 35 | 31 | 30.68 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 78 | 82 | 82.92 | Worse than 72% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 369 cases | 3 | 3 | 3.568 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 369 cases | 2 | 5 | 5.892 | Better than 83% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 369 cases | 71 | 71 | 70.75 | Worse than 49% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 369 cases | 89 | 87 | 87.14 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 369 cases | 27 | 23 | 23.35 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 369 cases | 4 | 4 | 3.662 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 369 cases | 48 | 47 | 45.78 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 369 cases | 26 | 30 | 29.67 | Better than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 369 cases | 26 | 22 | 24.55 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 369 cases | 4 | 3 | 3.311 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 369 cases | 14 | 12 | 12.12 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 369 cases | 86 | 88 | 87.88 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.941 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.026 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2857 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,843 cases | 91 | 79 | 81.12 | Better than 74% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 858 cases | 198 | 154 | 167 | Worse than 76% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 760 cases | 186 | 148 | 161 | Worse than 73% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 43 cases | 320 | 247 | 273 | Worse than 74% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 59 cases | 307 | 293 | 288 | Worse than 56% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 19,907 cases | 2 | 1 | 2.18 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 34 cases | 97 | 74 | 72.93 | Better than 97% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 95 cases | 99 | 97 | 95.34 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 98 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 55.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 710 cases | 13 | 15 | 17.13 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 266 cases | 62 | 65 | 61.69 | Worse than 57% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 90 cases | 78 | 73 | 66.69 | Better than 60% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 46 cases | 80 | 88 | 82.85 | Worse than 73% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 266 cases | 79 | 82 | 78.59 | Worse than 60% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 148 cases | 89 | 94 | 92.68 | Worse than 76% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 27 cases | 100 | 98 | 96.61 | The best result, shared by 14% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.14 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 95.06 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,008 cases | 88 | 90 | 83.25 | Worse than 54% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 95.05 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.7 | 5 | 5.293 | Better than 66% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2.5 | 6.6 | 6.538 | Better than 95% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.91 | 0.99 | 0.981 | Better than 84% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 57.14 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 29.93 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 3,052 cases | 0.17 | 0.05 | 0.6767 | Better than 71% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 3,052 cases | 0 | 0.03 | 0.2807 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 180 cases | 58 | 87 | 69.54 | Worse than 80% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 79.89 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 109 cases | 16.2 | 19.1 | 18.49 | No Different Than the National Rate | Better than 90% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 176 cases | 93 | 92 | 81.92 | Better than 53% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 58.88 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 74.15 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 23 cases | 35 | 77 | 54 | Worse than 86% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 23 cases | 30 | 56 | 47.18 | Worse than 75% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 21 cases | 62 | 64 | 49.22 | Worse than 51% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 21 cases | 0 | 4 | 14 | The worst result, shared by 31% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 263 cases | 50 | 77 | 64.63 | Worse than 67% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 20.74 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 5.208 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 70 | 10 | 24.07 | Better than 92% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 17.5 | 2.5 | 6.186 | Better than 91% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 36 | 34 | 35.83 | Better than 52% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 9 | 8.75 | 9.052 | Better than 52% of US hospitals | |
| VBP safety domain scoreFY 2026 | 0 | 40 | 39.11 | The worst result, shared by 1% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 0 | 10 | 9.878 | The worst result, shared by 1% of US hospitals | |
| VBP total performance scoreFY 2026 | 26.5 | 29.5 | 30.07 | Worse than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 38 | 54 | 50 | 14 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 9.5 | 13.5 | 12.5 | 3.5 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 70 | Not Available | 40 | 40 | 30 | 70 |
| VBP efficiency and cost reduction weighted domain score | 17.5 | Not Available | 10 | 10 | 7.5 | 17.5 |
| VBP person and community engagement domain score | 26 | Not Available | Not Available | 22 | 21 | 36 |
| VBP person and community engagement weighted domain score | 6.5 | Not Available | Not Available | 5.5 | 5.25 | 9 |
| VBP safety domain score | 70 | Not Available | Not Available | 53.33 | 100 | 0 |
| VBP safety weighted domain score | 17.5 | Not Available | Not Available | 13.33 | 25 | 0 |
| VBP total performance score | 51 | Not Available | Not Available | 32.33 | 37.75 | 26.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 72 cases | 1.058 | 0.9995 | 1.004 | Worse than 82% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9855 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9629 | 0.9969 | 1.004 | Better than 81% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9465 | 0.9983 | 1 | Better than 82% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.018 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.9634 | 0.9955 | 0.9936 | Better than 72% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.026 | 0.9916 | 0.9723 | 1.027 | 1.086 | 1.058 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9704 | 0.9432 | 0.9502 | 0.9513 | 0.9537 | 0.9629 |
| READM-30-HF-HRRP | 0.974 | 0.9686 | 0.9969 | 0.9919 | 0.9654 | 0.9465 |
| READM-30-HIP-KNEE-HRRP | 0.8375 | 0.8556 | 0.8917 | 0.9405 | 0.8741 | N/A |
| READM-30-PN-HRRP | 1.054 | 1.096 | 0.9941 | 1.023 | 0.9764 | 0.9634 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | MO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.058 | 0.489 | 0.5555 | Worse than 88% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.66 | 0.346 | 0.3878 | Worse than 85% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5837 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8346 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9558 | 0.9628 | 0.9777 | Better than 53% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.42 | 0.7945 | 0.777 | Better than 74% of US hospitals | |
| Total HAC scoreFY 2026 | 0.34 | -0.0453 | -0.03378 | Worse than 72% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.2257 | -0.1505 | 0 | 0.0902 | 0.0135 | 0.34 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2014)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
74
Medicare-certified beds
98
Registered nurses (full-time equivalent)
1982
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Citizens Memorial Hospital District reported to Medicare in its latest cost report, covering Jun 1, 2024 to May 31, 2025.
2,514
Inpatient discharges
Medicare 19%, Medicaid 10%
8,908
Inpatient days
47% of available bed days used
1,061
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844847). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Citizens Memorial Hospital District reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,741 | 698 | 6,469 | 8,908 |
| Discharges | 485 | 254 | 1,775 | 2,514 |
| Average length of stay | 3.6 days | 2.7 days | 3.6 days | 3.5 days |
| Average daily census | 4.8 | 1.9 | 17.7 | 24.4 |
3,192
Medicare Advantage days
852 discharges
1,582
Medicaid managed care days
563 discharges
1,528
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 44 | 5,991 | 1,267 | 37% |
| Intensive care unit | 8 | 1,948 | 474 | 67% |
| Nursery | 946 | |||
| Subprovider - ipf | 20 | 3,508 | 843 | 48% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844847, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Citizens Memorial Hospital District treats Medicare patients for most often, in 2024. 171 Medicare discharges in 8 published DRGs; 22% surgical; 76% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 67 | $35,441 | $15,542 | $10,739 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 23 | $21,893 | $9,984 | $6,634 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $26,089 | $9,505 | $7,905 | 1.23 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $76,052 | $22,877 | $23,044 | 2.87 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $24,802 | $7,543 | $7,515 | 1.03 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $29,383 | $12,501 | $8,903 | 1.59 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $68,924 | $40,824 | $20,884 | 5.00 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $45,127 | $16,751 | $13,674 | 2.11 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Citizens Memorial Hospital District billed Medicare for most in 2024: 1,078 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 181 | 110 | $9,558 | $1,671 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 126 | 119 | $17,383 | $1,933 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 104 | 99 | $36,721 | $10,107 | $10,772 |
| Level 2 Urology and Related ServicesAPC 5372 | 86 | 62 | $1,790 | $480 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 75 | 67 | $6,403 | $1,456 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 71 | 62 | $9,248 | $1,379 | $1,407 |
| Level 1 Endovascular ProceduresAPC 5191 | 45 | 45 | $22,870 | $2,055 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 44 | 43 | $22,378 | $5,128 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 41 | 36 | $5,904 | $1,160 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 36 | 36 | $7,619 | $1,153 | $1,196 |
See all 20 Medicare outpatient services at Citizens Memorial Hospital District
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Citizens Memorial Hospital District in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,472 in 2020 to 1,184 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 65613 | 336 | 28% | 1,399 | $13.7M | 43% | 54% |
| 65785 | 133 | 11% | 458 | $5M | 45% | 51% |
| 65622 | 129 | 11% | 500 | $6M | 29% | 28% |
| 65674 | 64 | 5% | 282 | $3.1M | 47% | 57% |
| 65724 | 49 | 4% | 193 | $2.5M | 49% | 56% |
| 65668 | 47 | 4% | 182 | $1.8M | 48% | 50% |
| 64744 | 46 | 4% | 257 | $2.4M | 13% | 17% |
| 65767 | 40 | 3% | 158 | $1.8M | 41% | 35% |
| 65649 | 36 | 3% | 144 | $1.8M | 48% | 44% |
| 65650 | 32 | 3% | 106 | $1M | 48% | 56% |
| 65779 | 31 | 3% | 102 | $1.3M | 38% | 64% |
| 65663 | 27 | 2% | 86 | $1.1M | 42% | 44% |
| 65685 | 27 | 2% | 124 | $1.4M | 49% | 38% |
| 64776 | 23 | 2% | 146 | $1M | 12% | 27% |
| 65725 | 22 | 2% | 86 | $941,185 | 23% | 24% |
| 64738 | 20 | 2% | 63 | $694,764 | 43% | 100% |
| 65644 | 20 | 2% | 81 | $893,607 | 15% | 11% |
| 65590 | 18 | 2% | 62 | $917,529 | 24% | 29% |
| 65661 | 18 | 2% | 49 | $732,649 | 13% | 13% |
| 65774 | 17 | 1% | 68 | $807,083 | 43% | 100% |
| 65770 | 14 | 1% | 30 | $554,385 | 10% | |
| 65634 | 13 | 1% | 44 | $542,453 | 100% | |
| 65710 | 11 | 1% | 33 | $395,425 | 100% | 63% |
| 65732 | 11 | 1% | 27 | $630,990 | 42% | 48% |
Source: CMS Hospital Service Area file. Shares are of the 1,184 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Citizens Memorial Hospital District reported at its latest Medicare certification survey (1999). Counts are people, not full-time equivalents.
20
Psychiatric unit beds
36
Off-site locations
98
Registered nurses
14
Licensed practical nurses
9
Physicians
5
Resident physicians
1
Physician assistants
1
Pharmacists
9
Respiratory therapists
5
Physical therapists
4
Occupational therapists
2
Speech pathologists and audiologists
1
Dietitians
5
Social workers
287
Other personnel
Source: CMS Provider of Services file.
249 clinicians who bill Medicare list Citizens Memorial Hospital District as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Leonid Shunyakov, MD
Medical Oncology Physician
NPI 1396709895
See commercial rates for Leonid Shunyakov, MDPenelope Harris, MD
Hematology & Oncology Physician
NPI 1154389260
See commercial rates for Penelope Harris, MDClaudia Perez-Tamayo, MD
Therapeutic Radiology Physician
NPI 1366403537
See commercial rates for Claudia Perez-Tamayo, MDShang-Chiun Lee, MD
Clinical Cardiac Electrophysiology Physician
NPI 1588754402
See commercial rates for Shang-Chiun Lee, MDIbrahim Abdalla, M.D.
Radiation Oncology Physician
NPI 1437154630
See commercial rates for Ibrahim Abdalla, M.D.Troy Morrison, D.O.
Orthopaedic Surgery Physician
NPI 1073829925
See commercial rates for Troy Morrison, D.O.Mark Anderson, MD
Interventional Cardiology Physician
NPI 1073557922
See commercial rates for Mark Anderson, MDDanny Penick, MD
Interventional Cardiology Physician
NPI 1033153614
See commercial rates for Danny Penick, MDJames Ceaser, MD
Interventional Cardiology Physician
NPI 1578500120
See commercial rates for James Ceaser, MDJuris Simanis, MD
Sports Medicine (Family Medicine) Physician
NPI 1417901935
See commercial rates for Juris Simanis, MDGigi Baker, MD
Internal Medicine Physician
NPI 1184666117
See commercial rates for Gigi Baker, MDMichael Gilbert, DO
Diagnostic Radiology Physician
NPI 1205039534
See commercial rates for Michael Gilbert, DOBrett Neill, MD
MOHS-Micrographic Surgery Physician
NPI 1679006522
See commercial rates for Brett Neill, MDJames Rice, MD
Cardiovascular Disease Physician
NPI 1417991894
See commercial rates for James Rice, MDJohn Garner, MD
Clinical Cardiac Electrophysiology Physician
NPI 1093861601
See commercial rates for John Garner, MDRetha Melton, PA-C
Physician Assistant
NPI 1366074817
See commercial rates for Retha Melton, PA-CBradley Walz, MD
Orthopaedic Surgery Physician
NPI 1649319963
See commercial rates for Bradley Walz, MDPhilipp Wiesner, M.D.
Interventional Cardiology Physician
NPI 1609162817
See commercial rates for Philipp Wiesner, M.D.Indrajeet Mahata, M.D
Clinical Cardiac Electrophysiology Physician
NPI 1619225208
See commercial rates for Indrajeet Mahata, M.DJonathan Gray, D.O
Orthopaedic Surgery Physician
NPI 1578798054
See commercial rates for Jonathan Gray, D.OMurphy Mastin, MD
Dermatology Physician
NPI 1588159917
See commercial rates for Murphy Mastin, MDMatthew Lebaron, DO
Sports Medicine (Family Medicine) Physician
NPI 1164913448
See commercial rates for Matthew Lebaron, DOBradley Stanley, M.D.
Urology Physician
NPI 1649220088
See commercial rates for Bradley Stanley, M.D.Angie Whitesell, M.D.
Family Medicine Physician
NPI 1689679391
See commercial rates for Angie Whitesell, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Citizens Memorial Hospital District reported to Medicare for Jun 1, 2024 to May 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $700.9M | 320.3% |
| Inpatient | $80.2M | 36.6% |
| Outpatient | $620.8M | 283.7% |
| Contractual allowances and discounts | -$482.1M | -220.3% |
| Net patient revenue | $218.8M | 100.0% |
| Operating expenses | -$277.9M | -127.0% |
| Operating income from patient care | -$59.1M | -27.0% |
| Other income | $64.5M | 29.5% |
| Contributions and donations | $593,289 | 0.3% |
| Investment income | $4.8M | 2.2% |
| Other | $59.1M | 27.0% |
| Other expenses | -$10 | -0.0% |
| Net income | $5.4M | 2.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $80.3M | 13.1% |
| Medicaid (including managed care) | $81.3M | 13.3% |
| Other payers and self-pay | $449.8M | 73.6% |
| Total charges | $611.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844847, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Citizens Memorial Hospital District's latest cost report.
-27.0%
Operating margin
Operating income from patient care / net patient revenue
1.9%
Total margin
Net income / net patient revenue plus other income
3.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.61
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
2.2%
Return on assets
Net income for a year / total assets
12.0%
Return on equity
Net income for a year / fund balance
2.42
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.21
Current ratio
Current assets / current liabilities
0.97
Quick ratio
Cash, temporary investments and net receivables / current liabilities
50 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
40 days
Days in patient receivables
Net patient receivables / daily net patient revenue
85 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.13
Asset turnover
Total revenue for a year / total assets
13.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844847, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Citizens Memorial Hospital District owned and owed at the end of its reporting period (May 2025), across all fund types: $250.3M in total assets and a $44.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $37.4M | 14.9% |
| Patient receivables, net | $23.9M | 9.5% |
| Inventory | $3.8M | 1.5% |
| Total current assets | $76.7M | 30.6% |
| Property and equipment, net of depreciation | $70.8M | 28.3% |
| Investments and other assets | $102.8M | 41.1% |
| Total assets | $250.3M | 100.0% |
| Current liabilities | $63.5M | 25.4% |
| Long-term debt | $108.6M | 43.4% |
| Total liabilities | $205.5M | 82.1% |
| Fund balance (net assets) | $44.8M | 17.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844847, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Citizens Memorial Hospital District provided without full payment, as reported on Worksheet S-10 of its cost report.
$353,585
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$16.9M
Bad debt
Patient bills written off as uncollectible, at charges
$2.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$8.1M
Total unreimbursed and uncompensated care
2.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 844847, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Citizens Memorial Hospital District's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | May 2020 | May 2021 | May 2022 | May 2023 | May 2024 | May 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $136.1M | $154.1M | $171.9M | $178.3M | $199.4M | $218.8M |
| Operating expenses | $172.2M | $183.3M | $197.5M | $212.7M | $232M | $277.9M |
| Operating margin | -26.5% | -19.0% | -14.9% | -19.3% | -16.3% | -27.0% |
| Net income | -$1.1M | $5.1M | $14.2M | -$452,428 | -$469,476 | $5.4M |
| Total assets | $82.4M | $92.9M | $88.5M | $114.5M | $222.3M | $250.3M |
| Discharges | 2,873 | 2,679 | 2,593 | 2,405 | 2,448 | 2,514 |
| Inpatient days | 8,611 | 9,309 | 9,992 | 8,332 | 8,679 | 8,908 |
| Medicare Advantage days | 2,463 | 2,865 | 3,094 | 2,979 | 3,000 | 3,192 |
| Beds | 72 | 72 | 72 | 72 | 72 | 72 |
| Employees (FTE) | 916 | 932 | 989 | 984 | 995 | 1,061 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844847, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Citizens Memorial Hospital District reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic | $27.6M | $46.6M | $50.3M | 0.93 | |
| Laboratory | $2.8M | $12.5M | $64.7M | 0.19 | 2,956 |
| Radiology-diagnostic | $6.3M | $12.5M | $132.9M | 0.09 | 6,294 |
| Drugs charged to patients | $2M | $12.3M | $53.2M | 0.23 | 1,589 |
| Asc (non-distinct part) | $2.4M | $10.2M | $40.9M | 0.25 | |
| Impl. dev. charged to patients | $10M | $15.6M | 0.64 | ||
| Ambulance services | $4.2M | $9.2M | $31.1M | 0.30 | 8,826 |
| Operating room | $1.5M | $8.2M | $31.5M | 0.26 | 7,671 |
| Emergency | $5.9M | $7.8M | $33.1M | 0.24 | 8,301 |
| Cardiac catheterization | $1.1M | $4.9M | $34.1M | 0.14 | 4,931 |
| Physical therapy | $2.3M | $4.8M | $15.4M | 0.31 | 4,875 |
| Rural health clinic xv | $1.9M | $3.1M | $3.3M | 0.95 | |
| Rehab - outlying clinics | $1.1M | $2.2M | $9.8M | 0.23 | |
| Respiratory therapy | $1.1M | $2.2M | $9.3M | 0.23 | 685 |
| Infusion/medical oncology | $657,680 | $1.8M | $4.2M | 0.43 | |
| Observation beds (non-distinct part | $1.7M | $4.5M | 0.37 | ||
| Heart institute | $3M | $1.5M | $1.5M | 0.98 | 4,910 |
| Delivery room & labor room | $1.1M | $1.6M | 0.73 | 4,505 | |
| Clinic | $1.3M | $1.1M | $4.2M | 0.26 | |
| Neurology clinic | $1.2M | $1.1M | $2.4M | 0.45 | |
| Cardiac rehabilitation | $389,793 | $974,675 | $2.9M | 0.33 | 3,319 |
| Anesthesiology | $3.6M | $970,803 | $18.4M | 0.05 | 157 |
| Surgical clinic | $2.6M | $969,391 | $1.1M | 0.89 | |
| Endocrinology clinic | $1M | $921,906 | $3.1M | 0.30 | |
| Urology clinic | $1.1M | $817,435 | $2.6M | 0.31 | |
| Dermatology clinic | $1.4M | $797,053 | $4.1M | 0.19 | |
| Electroencephalography | $357,304 | $769,508 | $3.9M | 0.20 | 743 |
| Podiatry clinic | $683,369 | $511,998 | $1.7M | 0.30 | |
| Pulmonology clinic | $390,064 | $381,953 | $1.3M | 0.28 | |
| Gastro clinic | $847,203 | $376,644 | $440,477 | 0.86 | |
| Blood storing processing & trans. | $333,593 | $422,272 | 0.79 | 145 | |
| Rheumatology clinic | $136,089 | $331,878 | $726,721 | 0.46 | |
| Infectious disease | $332,707 | $177,040 | $186,829 | 0.95 | |
| Ent & allergy clinic | $203,475 | $173,921 | $210,570 | 0.83 | |
| Nephrology clinic | $375,905 | $114,473 | $297,050 | 0.39 | |
| Cmh health & wellness clinic | $87,344 | $112,546 | $113,982 | 0.99 | |
| Medical supplies charged to patient | $82,855 | $1M | 0.08 | ||
| Cmh medication management clinic | $2,492 | $3,143 | $1,300 | 2.42 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $5.9M | $8.2M | $11.4M | 0.72 | 12,506 |
| Subprovider - ipf | $2M | $3.5M | $5.6M | 0.63 | 7,838 |
| Intensive care unit | $1.8M | $3.5M | $7.2M | 0.48 | 5,674 |
| Nursery | $680,367 | $955,894 | 0.71 | 2,237 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $12.4M | $24.2M | 322,437 | $38.28 | 12,074 |
| Medical records & library | $3.9M | $8.5M | 162,731 | $24.07 | 2,243 |
| Cap rel costs-mvble equip | $4.8M | ||||
| Operation of plant | $1.9M | $4.2M | 57,840 | $31.99 | 15,930 |
| Cap rel costs-bldg & fixt | $3.6M | 136,703 | |||
| Dietary | $2M | $3.3M | 98,578 | $20.68 | 4,537 |
| Housekeeping | $1.3M | $1.8M | 84,251 | $15.31 | 1,976 |
| Nursing administration | $1.1M | $1.6M | 11,910 | $89.92 | 529 |
| Laundry & linen service | $300,668 | $180,326 | 17,270 | $17.41 | 4,678 |
| Employee benefits department | -$151,971 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844847, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Citizens Memorial Hospital District for an inpatient stay.
1.93
Case mix index
Higher than 73% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
29.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
511
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.75 | 1.75 | 1.93 | 1.82 | 1.98 | 1.98 | 1.93 |
| Wage index | 0.810 | 0.804 | 0.812 | 0.828 | 0.843 | 0.967 | 0.951 |
| Readmissions adjustment | -1.10% | -0.47% | -0.74% | 0.00% | -0.19% | -0.34% | -0.32% |
| Value-based purchasing adjustment | +0.22% | +1.27% | +1.27% | +1.43% | +1.07% | +1.38% | -0.17% |
| Medicare inpatient stays | 931 | 931 | 628 | 515 | 463 | 431 | 511 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Citizens Memorial Hospital District reports to Medicare as owners or with operational control.
Citizens Memorial Hospital District
5% or greater direct ownership interest, 100%, since 1981
Citizens Memorial Hospital District
Operational/managerial control, 100%, since 1981
Sources: CMS Hospital All Owners.
The officers and board members on Citizens Memorial Hospital District's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
340B drug pricing program
Participating since 2022
340B ID DSH260195, registered as a disproportionate share hospital; 36 registered outpatient sites; 58 active contract pharmacies. Authorizing official: Renee Marie Meyer, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Cmh - psych unit
CCN 26S195, certified 1990, Medicare prospective payment
Cmh - swing bed
CCN 26U195, certified 1984, Medicare prospective payment
Dade county family medical center
CCN 263411, certified 1995, Medicare cost reimbursed
Stockton family medical center
CCN 263977, certified 1990, Medicare cost reimbursed
Humansville family medical center
CCN 263976, certified 1990, Medicare cost reimbursed
Ash grove family medical center
CCN 263471, certified 1995, Medicare cost reimbursed
Dallas county family medical center
CCN 263482, certified 1996, Medicare cost reimbursed
Cmh walk-in clinic
CCN 268640, certified 2009, Medicare cost reimbursed
Pleasant hope family medical center
CCN 268552, certified 2002, Medicare cost reimbursed
Butterfield park medical center
CCN 268553, certified 2002, Medicare cost reimbursed
Cmh ob/gyn and pediatric clinic
CCN 268554, certified 2002, Medicare cost reimbursed
Southside medical center
CCN 268668, certified 2011, Medicare cost reimbursed
Bolivar family care center
CCN 268694, certified 2013, Medicare cost reimbursed
Osceola medical center
CCN 268727, certified 2015, Medicare cost reimbursed
El dorado springs medical center
CCN 268751, certified 2017, Medicare cost reimbursed
Willard medical center and walk in
CCN 268791, certified 2022, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Citizens Memorial Hospital District's latest Medicare cost report (HCRIS).
About Citizens Memorial Hospital District's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Citizens Memorial Hospital District range from $2,004 to $4,144 across 4 insurers. Blue Cross Blue Shield's rate is $2,449. The median at nearby comparable hospitals is $1,246. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Citizens Memorial Hospital District range from $2,051 to $5,327 across 4 insurers. Aetna's rate is $5,327. The median at nearby comparable hospitals is $1,191. 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 Citizens Memorial Hospital District range from $1,287 to $5,182 across 4 insurers. Aetna's rate is $2,288. The median at nearby comparable hospitals is $1,340. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Citizens Memorial Hospital District range from $3,653 to $6,000 across 2 insurers. UnitedHealthcare's rate is $6,000. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Citizens Memorial Hospital District range from $174 to $224 across 4 insurers. Blue Cross Blue Shield's rate is $224. The median at nearby comparable hospitals is $149. What a patient pays depends on their plan's deductible, coinsurance and network status.
Citizens Memorial Hospital District has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Citizens Memorial Hospital District for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Citizens Memorial Hospital District's base inpatient payments by an estimated 0.32% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (67 discharges), heart failure and shock with mcc (23 discharges), pulmonary edema and respiratory failure (15 discharges).
Citizens Memorial Hospital District's Medicare case mix index is 1.93 for fiscal year 2027, higher than 73% of hospitals paid under the inpatient prospective payment system.
Citizens Memorial Hospital District reported 2,514 inpatient discharges and 8,908 inpatient days from Jun 1, 2024 to May 31, 2025.
Citizens Memorial Hospital District reported 1,061 full-time-equivalent employees on payroll from Jun 1, 2024 to May 31, 2025.
Citizens Memorial Hospital District reported $218.8M in net patient revenue on $700.9M of gross charges for Jun 1, 2024 to May 31, 2025, an operating margin of -27.0%, and net income of $5.4M.
Citizens Memorial Hospital District reported $8.1M of unreimbursed and uncompensated care for Jun 1, 2024 to May 31, 2025, including $353,585 of charity care at cost.
Insurers' price transparency files list Citizens Memorial Hospital District under employer identification number 43-1142176 (Citizens Memorial Hospital). 56 health plans and networks list 43-1142176 for it.
Yes. HRSA's 340B database lists Citizens Memorial Hospital District (340B ID DSH260195) as a participating disproportionate share hospital since 2022, with 58 active contract pharmacies.
249 clinicians who bill Medicare list Citizens Memorial Hospital District as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (35), family medicine physician (25), physician assistant (21).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Citizens Memorial Hospital District, effective 2014.
In its Medicare enrollment, Citizens Memorial Hospital District reports Citizens Memorial Hospital District as 5% or greater direct ownership interest (100%).
CMS lists 21 services at Citizens Memorial Hospital District, including Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department, Forensic Psychiatric.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Citizens Memorial Hospital District came from ZIP codes 65613 (336), 65785 (133), 65622 (129).
Citizens Memorial Hospital District has 72 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 74 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Citizens Memorial Hospital District is located at 1500 North Oakland Avenue, Bolivar, MO 65613. Its main phone number is (417) 326-6000.
Citizens Memorial Hospital District's CMS Certification Number (CCN), also called its Medicare provider number, is 260195.
The National Provider Identifier (NPI) on file for Citizens Memorial Hospital District is 1003981549.
Citizens Memorial Hospital District is affiliated with Citizens Memorial Healthcare.
Citizens Memorial Hospital District lists 36 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.
194 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