WTH Bolivar Hospital prices. From its own published file.

WTH Bolivar Hospital in Bolivar, TN 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.

2,905prices published

Jun 2026file last updated

$1,537cash price for emergency visit, highest (level 5) (list $5,122)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$444	$1,480	$287–$1,462
Emergency visit, high (level 4) `99284`	$1,366	$4,553	$661–$3,142
Emergency visit, highest (level 5) `99285`	$1,537	$5,122	$739–$3,534
Comprehensive metabolic panel `80053`	$54.00	$180	$6.34–$124
Basic metabolic panel `80048`	$37.20	$124	$5.08–$85.56
Complete blood count (CBC) `85025`	$54.90	$183	$4.66–$126
Blood draw (venipuncture) `36415`	$13.50	$45.00	$1.80–$31.05
Urinalysis `81001`	$30.60	$102	$1.90–$70.38
Troponin (heart test) `84484`	$35.10	$117	$7.48–$80.73
EKG tracing `93005`	$142	$472	$13.81–$446
Chest X-ray, 2 views `71046`	$150	$501	$40.38–$794
CT head without contrast `70450`	$119	$395	$94.80–$794
CT abdomen and pelvis with contrast `74177`	$201	$670	$161–$794
MRI lower back without contrast `72148`	$215	$718	$172–$794
Ultrasound, abdomen `76700`	$426	$1,421	$62.49–$980
IV push, single drug `96374`	$112	$373	$23.48–$337
IV fluids, first hour `96360`	$101	$338	$47.89–$337
Ketorolac injection, 15 mg `J1885`	$1.09	$4.67	$0.38–$13.41
Ondansetron injection `J2405`	$0.93	$3.11	$0.09–$4.59

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: WTH Bolivar Hospital 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.