Bolivar Medical Center prices. From its own published file.

Bolivar Medical Center in Cleveland, MS publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

10,799prices published

Apr 2026file last updated

$5.67cash price for ketorolac injection, 15 mg (list $27.52)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	—	—	$246–$547
Emergency visit, high (level 4) `99284`	—	—	$376–$836
Emergency visit, highest (level 5) `99285`	—	—	$537–$1,193
Comprehensive metabolic panel `80053`	—	—	$9.50–$13.20
Basic metabolic panel `80048`	—	—	$7.61–$10.58
Complete blood count (CBC) `85025`	—	—	$6.99–$9.71
Blood draw (venipuncture) `36415`	—	—	$2.70–$11.68
Urinalysis `81001`	—	—	$2.85–$3.96
Troponin (heart test) `84484`	—	—	$11.22–$15.59
EKG tracing `93005`	—	—	$53.23–$118
Chest X-ray, 2 views `71046`	—	—	$78.52–$174
CT head without contrast `70450`	—	—	$94.33–$209
CT abdomen and pelvis with contrast `74177`	—	—	$315–$699
MRI lower back without contrast `72148`	—	—	$215–$478
Ultrasound, abdomen `76700`	—	—	$94.33–$209
IV push, single drug `96374`	—	—	$192–$426
IV fluids, first hour `96360`	—	—	$192–$426
Ketorolac injection, 15 mg `J1885`	$5.67	$27.52	—
Ondansetron injection `J2405`	$8.04	$20.09	—
Colonoscopy, diagnostic `45378`	—	—	$839–$1,863
Upper GI endoscopy with biopsy `43239`	—	—	$818–$1,817
Knee arthroscopy `29881`	—	—	$2,952–$6,556

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Bolivar Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.