CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$406 - $4,608
from 4 insurers · median $4,251
Typical for a hospital with this service line
Cheyenne Wells, CO
30
In-network payers
144
Disclosed rate categories
25
Beds
Keefe Memorial Hospital is a 25-bed hospital in Cheyenne Wells, CO. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 144 disclosed rate categories.
CCN (Medicare provider number)
060043
NPI
1366840688
Type
Short Term Acute Care Hospital
Beds
25
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.





The 24 services Keefe Memorial Hospital 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.
CT imaging
CPT 74177
$406 - $4,608
from 4 insurers · median $4,251
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,723 - $4,147
from 4 insurers · median $3,929
Typical for a hospital with this service line
CT imaging
CPT 70450
$211 - $1,378
from 4 insurers · median $1,271
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,022 - $2,252
from 4 insurers · median $2,134
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,136 - $2,544
from 4 insurers · median $2,347
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,502 - $3,901
from 4 insurers · median $3,695
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,091 - $2,328
from 4 insurers · median $2,206
Typical for a hospital with this service line
Mammography
CPT 77067
$305 - $340
from 4 insurers · median $320
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,718 - $3,027
from 4 insurers · median $2,867
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$310 - $346
from 4 insurers · median $323
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,175 - $2,422
from 4 insurers · median $2,295
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,537 - $2,825
from 4 insurers · median $2,677
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,175 - $2,422
from 4 insurers · median $2,295
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,663 - $4,079
from 4 insurers · median $3,865
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 73721
$2,235 - $2,489
from 4 insurers · median $2,358
Typical for a hospital with this service line
Ultrasound
CPT 76705
$128 - $739
from 4 insurers · median $682
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,994 - $2,221
from 4 insurers · median $2,104
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$801 - $892
from 4 insurers · median $845
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$18 - $164
from 4 insurers · median $152
Typical for a hospital with this service line
Ultrasound
CPT 76830
$130 - $687
from 4 insurers · median $634
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,264 - $1,408
from 4 insurers · median $1,334
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$457 - $509
from 4 insurers · median $482
Typical for a hospital with this service line
Ultrasound
CPT 76856
$595 - $663
from 4 insurers · median $628
Typical for a hospital with this service line
Ultrasound
CPT 76642
$442 - $492
from 4 insurers · median $466
Typical for a hospital with this service line
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 | 632% | 9 | 7 |
| Insurer B* | 24 | 599% | 11 | 8 |
| Insurer C* | 24 | 567% | 21 | 3 |
| Insurer D* | 24 | 370% | 20 | 3 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Keefe Memorial Hospital.
602 North 6th Street West, Cheyenne Wells, CO 80810
7197675661
About Keefe Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Keefe Memorial Hospital range from $3,502 to $3,901 across 4 insurers. Anthem Blue Cross Blue Shield's rate is $3,502. The median at nearby comparable hospitals is $1,409. 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 Keefe Memorial Hospital range from $406 to $4,608 across 4 insurers. Aetna's rate is $406. The median at nearby comparable hospitals is $1,110. 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 Keefe Memorial Hospital range from $2,175 to $2,422 across 4 insurers. Cigna's rate is $2,422. The median at nearby comparable hospitals is $1,847. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Keefe Memorial Hospital range from $305 to $340 across 4 insurers. Aetna's rate is $318. The median at nearby comparable hospitals is $272. What a patient pays depends on their plan's deductible, coinsurance and network status.
Keefe Memorial Hospital has 25 beds. Facility type: Short Term Acute Care Hospital.
Keefe Memorial Hospital is located at 602 North 6th Street West, Cheyenne Wells, CO 80810. Its main phone number is 7197675661.
Keefe Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 060043.
The National Provider Identifier (NPI) on file for Keefe Memorial Hospital is 1366840688.
Keefe Memorial Hospital lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
144 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