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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Holyoke Medical Center

Valley Health Systems · Holyoke, MA

575 Beech Street, Holyoke, MA 01040(413) 534-2500

4 of 5

CMS star rating

219

Beds

7,416

Inpatient discharges a year

$247.3M

Net patient revenue a year

34

In-network payers

Photo 1: Simtropolitan, CC BY 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Holyoke Medical Center is a 219-bed voluntary non-profit - private hospital in Holyoke, MA, affiliated with Valley Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 209 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
220024
NPI
1750395737
Health system
Valley Health Systems
Teaching
No Medicare-funded residents
County
Hampden County
Metro area
Springfield, MA MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
1993

Prices for common services

The 24 services Holyoke Medical Center 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, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,467 - $8,138

from 3 insurers · median $7,235

Aetna$8,138
Insurer A*$6,467
Insurer B*$7,235

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

Cesarean delivery, hospital stay

MS-DRG 788

$8,758 - $10,712

from 3 insurers · median $9,992

Aetna$10,712
Insurer A*$8,758
Insurer B*$9,992

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

CT abdomen and pelvis with contrast

CPT 74177

$313 - $748

from 4 insurers · median $542

Blue Cross$748
Insurer A*$313
Insurer B*$497
Insurer C*$587
Medicare $406Nearby hospitals $80333% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,011 - $22,773

from 4 insurers · median $20,244

Aetna$22,773
Insurer A*$15,011
Insurer B*$19,584
Insurer C*$20,904
Medicare $13,172Nearby hospitals $23,97816% below nearby hospitals

12 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Holyoke Medical Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
135%
013
Insurer B*15
112%
111
Insurer C*23
109%
218
Insurer D*24
88%
417

How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 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 Holyoke Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthDean Health PlanEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 253 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.75%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 24 services
    • 444 affiliated clinicians
    See doctors and services
  • Finances

    $247.3M net patient revenue

    • Operating margin on patient care -15.1%
    • $4.1M unreimbursed and uncompensated care
    • -$15.4M net income
    See finances
  • Ownership and leadership

    Owned by Valley Health Systems Inc

    • Private (not for profit)
    • Spiridon E Hatiras, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Holyoke Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
22-2520073Holyoke Medical Center INC52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more1750395737 Holyoke Medical Center Inc.1083776140 Holyoke Medical Center Inc.1992923486 Holyoke Medical Center Inc.and 8 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.

Location

575 Beech Street, Holyoke, MA 01040

(413) 534-2500

Get directions

Frequently asked questions

About Holyoke Medical Center's rates and hospital price transparency.

How much does an MRI cost at Holyoke Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Holyoke Medical Center range from $330 to $748 across 4 insurers. Blue Cross Blue Shield's rate is $748. The median at nearby comparable hospitals is $1,635. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Holyoke Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Holyoke Medical Center range from $313 to $748 across 4 insurers. Blue Cross Blue Shield's rate is $748. The median at nearby comparable hospitals is $803. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Holyoke Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Holyoke Medical Center range from $354 to $2,789 across 4 insurers. UnitedHealthcare's rate is $1,331. The median at nearby comparable hospitals is $2,599. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Holyoke Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Holyoke Medical Center range from $6,467 to $8,138 across 3 insurers. Aetna's rate is $8,138. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Holyoke Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Holyoke Medical Center range from $132 to $221 across 4 insurers. Cigna's rate is $144. The median at nearby comparable hospitals is $297. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Holyoke Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Holyoke Medical Center range from $15,011 to $22,773 across 4 insurers. Aetna's rate is $22,773. The median at nearby comparable hospitals is $23,978. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Holyoke Medical Center's CMS star rating?

Holyoke Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Holyoke Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Holyoke Medical Center for fiscal year 2027.

Does Medicare penalize Holyoke Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Holyoke Medical Center's base inpatient payments by an estimated 0.75% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Holyoke Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (193 discharges), psychoses (112 discharges), heart failure and shock with mcc (102 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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