CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$301 - $4,608
from 4 insurers · median $4,251
Typical for a hospital with this service line
Cheyenne Wells, CO
Not rated by CMS
CMS star rating
11
Beds
28
Inpatient discharges a year
$12.7M
Net patient revenue a year
30
In-network payers
Keefe Memorial Hospital is an 11-bed government - hospital district or authority 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.
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, or start a free trial.
CT imaging
CPT 74177
$301 - $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
$186 - $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 $322
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
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
$111 - $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
Laboratory and pathology
CPT 80053
$148 - $164
from 4 insurers · median $159
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
Ultrasound
CPT 76830
$109 - $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
X-ray and bone density
CPT 73630
$322 - $358
from 4 insurers · median $339
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% | 0 | 0 |
| Insurer B* | 24 | 599% | 0 | 0 |
| Insurer C* | 24 | 567% | 0 | 0 |
| Insurer D* | 24 | 417% | 0 | 0 |
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, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
Not rated by CMS
Doctors and services
30 affiliated clinicians
See doctors and servicesFinances
$12.7M net patient revenue
Ownership and leadership
Hospital district or authority
The employer identification numbers (EINs) health plans and networks list for Keefe Memorial Hospital 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 |
|---|---|---|
| 47-2340447Keefe Memorial Health Service District | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 45 more | 1366840688 Keefe Memorial Health Service District1396143574 Keefe Memorial Health Service District1457749608 Keefe Memorial Health Service Districtand 5 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.
602 N 6TH ST W, Cheyenne Wells, CO 80810
(719) 767-5661
How Keefe Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Time in the ER before going home
144 min
Lower than 53% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| 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 | 144 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-09-30. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
Each result CMS publishes for Keefe Memorial Hospital, beside the US median and the average of CO 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 | Keefe Memorial Hospital | US median | CO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.148 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 3.776 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.76 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.062 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.784 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 10.89 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 14.58 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.48 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.579 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 172 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.22 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.2675 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.353 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.701 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.805 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.353 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.097 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.763 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.079 | |||
| CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30 | Not Available | 0.9855 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Keefe Memorial Hospital | US median | CO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | -18.05 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | -22.89 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | -5.831 | |||
| 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 | Not Available | 13.14 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.32 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.706 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.084 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 13.89 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.15 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.26 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 20.06 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.613 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 16.88 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Keefe Memorial Hospital | US median | CO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1445 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.578 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 3,299 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.217 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.521 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4511 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.18 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.778 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 2,908 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.498 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.644 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4738 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2145 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.337 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 99.05 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.62 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.914 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.7091 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4968 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.184 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 82.63 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6842 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.6327 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.023 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1395 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.056 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | Not Available | 28,478 | |||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.607 | |||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.7895 | |||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5623 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.113 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.209 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | Not Available | 25,664 | |||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 14.6 | |||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.935 | |||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3002 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Keefe Memorial Hospital | US median | CO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 74.79 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 7.556 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 17.65 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 87.91 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.75 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.96 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.54 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 3.653 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.518 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 16.39 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 80.15 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.09 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 4.778 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.339 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 15.07 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 63.03 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 78.3 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 18.1 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.036 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 18.88 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 86.38 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 12.6 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.482 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 87.4 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 13.96 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 86.04 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 74.7 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 6.343 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 18.96 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 78.34 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 5.104 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 16.55 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 86.28 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.179 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.54 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 7.042 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 18.46 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 74.5 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 89.05 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.661 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 75.82 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 8.507 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 15.67 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 75.21 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 4.806 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 19.99 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 76.93 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 3.851 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 19.22 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 86.91 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 2.373 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 10.72 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 62.31 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 7.958 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 29.74 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 83.39 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.661 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 4.819 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 74.72 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 88.79 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 20.46 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 4.036 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 49.1 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 28.09 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 22.81 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.518 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 11.48 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 88.52 |
How often the hospital gave recommended care, and how fast.
| Measure | Keefe Memorial Hospital | US median | CO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | Not Available | ||||
| 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 | 7.333 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.7368 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1176 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 | Not Available | 91.51 | |||
| 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 · 189 cases | 148 | 154 | 143 | Better than 54% 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 · 174 cases | 144 | 148 | 137 | Better than 53% 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 | Not Available | 249 | |||
| 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 · 13 cases | 299 | 293 | 266 | Worse than 52% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 | Not Available | 0.8 | |||
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 66.46 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 94.18 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 44.5 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 | Not Available | 15.33 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 73.54 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 77.91 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 89.29 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 86.02 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 95.12 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 98.42 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 0 cases | Not Available | ||||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.35 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 49 cases | 84 | 90 | 82.81 | Worse than 63% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 0 cases | Not Available | 96.37 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Keefe Memorial Hospital | US median | CO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | Not Available | 5.696 | |||
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.564 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Keefe Memorial Hospital | US median | CO average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.9648 |
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.
Not accredited
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
25
Medicare-certified beds
2017
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Keefe Memorial Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
28
Inpatient discharges
Medicare 46%, Medicaid 18%
351
Inpatient days
9% of available bed days used
60
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837528). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Keefe Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 242 | 12 | 97 | 351 |
| Discharges | 13 | 5 | 10 | 28 |
| Average length of stay | 18.6 days | 2.4 days | 9.7 days | 12.5 days |
| Average daily census | 0.7 | 0.0 | 0.3 | 1.0 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 11 | 78 | 33 | 2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837528, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Staff by profession and the rooms and units Keefe Memorial Hospital reported at its latest Medicare certification survey (2022). Counts are people, not full-time equivalents.
1
Operating rooms
1
Licensed practical nurses
1
Physicians
3
Nurse practitioners
1
Respiratory therapists
1
Physical therapists
1
Radiology technicians
1
Medical technologists
1
Dietitians
1
Social workers
4
Other personnel
Source: CMS Provider of Services file.
30 clinicians who bill Medicare list Keefe Memorial Hospital 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.
Robert Courtney, MD
Retina Specialist (Ophthalmology) Physician
NPI 1760649024
See commercial rates for Robert Courtney, MDBelton Hallmark, M.D.
Family Medicine Physician
NPI 1225018633
See commercial rates for Belton Hallmark, M.D.Ehrin Armstrong, M.D.
Interventional Cardiology Physician
NPI 1699733634
See commercial rates for Ehrin Armstrong, M.D.Yonatan Bitton-Faiwiszewski, MD
Interventional Cardiology Physician
NPI 1558626796
See commercial rates for Yonatan Bitton-Faiwiszewski, MDAbdel Marques, MD
Internal Medicine Physician
NPI 1649709890
See commercial rates for Abdel Marques, MDAmilda Heckman, DO
Family Medicine Physician
NPI 1124124441
See commercial rates for Amilda Heckman, DOKerry Neall, M.D.
Emergency Medical Services (Emergency Medicine) Physician
NPI 1649297078
See commercial rates for Kerry Neall, M.D.Christopher Merrick, M.D.
Pulmonary Disease Physician
NPI 1942566419
See commercial rates for Christopher Merrick, M.D.Richard Leahy, DO
Family Medicine Physician
NPI 1538265897
See commercial rates for Richard Leahy, DOSusan Krautkramer, P.A.-C
Medical Physician Assistant
NPI 1972560464
See commercial rates for Susan Krautkramer, P.A.-CRachael Krueger, DNP
Adult Health Nurse Practitioner
NPI 1851060743
See commercial rates for Rachael Krueger, DNPMandip Kc, MD
Gastroenterology Physician
NPI 1487099685
See commercial rates for Mandip Kc, MDDavid Hile, MD
Emergency Medicine Physician
NPI 1225248842
See commercial rates for David Hile, MDDavid Shepherd, D.O.
Internal Medicine Physician
NPI 1902066442
See commercial rates for David Shepherd, D.O.Daniel Reynolds, DO
Family Medicine Physician
NPI 1235659087
See commercial rates for Daniel Reynolds, DOKurt Papenfus, M.D.
General Acute Care Hospital
NPI 1194842930
See commercial rates for Kurt Papenfus, M.D.Deborah Chase, FNP-C
Family Nurse Practitioner
NPI 1447331830
See commercial rates for Deborah Chase, FNP-CDaniel Marquez, FNP-BC, AGACNP-BC
Family Nurse Practitioner
NPI 1154898914
See commercial rates for Daniel Marquez, FNP-BC, AGACNP-BCAkua Osei Poku, DNP, FNP-BC
Family Nurse Practitioner
NPI 1548089063
See commercial rates for Akua Osei Poku, DNP, FNP-BCAleathia Ware, FNP
Family Nurse Practitioner
NPI 1184858581
See commercial rates for Aleathia Ware, FNPPayton Stucky, APRN
Nurse Practitioner
NPI 1053888206
See commercial rates for Payton Stucky, APRNMandy Joiner, FNP
Family Nurse Practitioner
NPI 1114418100
See commercial rates for Mandy Joiner, FNPDonna March, DNP, APRN, NP-C
Family Nurse Practitioner
NPI 1285168542
See commercial rates for Donna March, DNP, APRN, NP-CBrian Miles, MD
Family Medicine Physician
NPI 1316940786
See commercial rates for Brian Miles, MDSource: 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 Keefe Memorial Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $15.6M | 122.9% |
| Inpatient | $985,772 | 7.7% |
| Outpatient | $14.7M | 115.1% |
| Contractual allowances and discounts | -$2.9M | -22.9% |
| Net patient revenue | $12.7M | 100.0% |
| Operating expenses | -$17.1M | -134.5% |
| Operating income from patient care | -$4.4M | -34.5% |
| Other income | $2.8M | 22.0% |
| Contributions and donations | $682,873 | 5.4% |
| Investment income | $203,215 | 1.6% |
| Government appropriations | $1.6M | 12.4% |
| Other | $335,092 | 2.6% |
| Net income | -$1.6M | -12.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $4M | 26.8% |
| Medicaid (including managed care) | $2.1M | 14.0% |
| Other payers and self-pay | $8.9M | 59.2% |
| Total charges | $15M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837528, 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 Keefe Memorial Hospital's latest cost report.
-34.5%
Operating margin
Operating income from patient care / net patient revenue
-10.2%
Total margin
Net income / net patient revenue plus other income
-5.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
-10.6%
Return on assets
Net income for a year / total assets
-13.4%
Return on equity
Net income for a year / fund balance
0.03
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
6.05
Current ratio
Current assets / current liabilities
4.54
Quick ratio
Cash, temporary investments and net receivables / current liabilities
113 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
41 days
Days in patient receivables
Net patient receivables / daily net patient revenue
32 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.03
Asset turnover
Total revenue for a year / total assets
12.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837528, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Keefe Memorial Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $15.1M in total assets and a $11.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $5.1M | 33.8% |
| Patient receivables, net | $1.4M | 9.4% |
| Inventory | $473,148 | 3.1% |
| Total current assets | $8.7M | 57.6% |
| Property and equipment, net of depreciation | $5.1M | 34.0% |
| Investments and other assets | $1.3M | 8.4% |
| Total assets | $15.1M | 100.0% |
| Current liabilities | $1.4M | 9.5% |
| Long-term debt | $307,154 | 2.0% |
| Total liabilities | $3.2M | 21.1% |
| Fund balance (net assets) | $11.9M | 78.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837528, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Keefe Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$151,750
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$149,184
Bad debt
Patient bills written off as uncollectible, at charges
$1.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$300,553
Total unreimbursed and uncompensated care
1.8% 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 837528, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Keefe Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $6M | $6.3M | $8.3M | $9.6M | $13M | $12.7M |
| Operating expenses | $6.9M | $9.1M | $11.9M | $13.6M | $16.6M | $17.1M |
| Operating margin | -14.8% | -44.4% | -42.8% | -41.8% | -28.3% | -34.5% |
| Net income | $2.6M | $2.5M | -$710,745 | -$1.3M | -$601,209 | -$1.6M |
| Total assets | $16.5M | $17.1M | $17.9M | $17M | $16.3M | $15.1M |
| Discharges | 40 | 42 | 51 | 39 | 40 | 28 |
| Inpatient days | 416 | 363 | 944 | 558 | 397 | 351 |
| Beds | 11 | 11 | 11 | 11 | 11 | 11 |
| Employees (FTE) | 38 | 38 | 47 | 52 | 54 | 60 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837528, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Keefe Memorial Hospital 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 |
|---|---|---|---|---|---|
| Laboratory | $837,232 | $3.4M | $6.8M | 0.51 | 1,124 |
| Rural health clinic | $1.6M | $3.4M | $1.1M | 3.08 | |
| Emergency | $453,368 | $2.1M | $988,433 | 2.12 | 2,910 |
| Radiology-diagnostic | $405,315 | $1M | $609,848 | 1.68 | 1,087 |
| Physical therapy | $252,738 | $653,992 | $814,623 | 0.80 | 806 |
| Specialty clinic | $61,985 | $624,831 | $427,806 | 1.46 | 470 |
| Drugs charged to patients | $372,046 | $651,851 | 0.57 | ||
| Observation beds (non-distinct part | $340,042 | $173,308 | 1.96 | ||
| Ct scan | $31,453 | $263,807 | $1.5M | 0.17 | 424 |
| Ultrasound | $29,471 | $250,205 | $646,890 | 0.39 | 249 |
| Respiratory therapy | $84,365 | $202,713 | $17,288 | 11.73 | 359 |
| Medical supplies charged to patient | $122,425 | $109,099 | 1.12 | ||
| Mri | $4,914 | $100,472 | $401,378 | 0.25 | |
| Other outpatient services | $59,129 | $119,956 | 0.49 | ||
| Electrocardiology | $11,388 | $37,488 | $146,997 | 0.26 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $735,019 | $2.3M | $508,122 | 4.53 | 2,526 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $890,089 | $3.5M | 3,970 | ||
| Employee benefits department | $1.4M | ||||
| Operation of plant | $254,284 | $608,310 | 13,787 | ||
| Cap rel costs-bldg & fixt | $419,123 | 32,602 | |||
| Cap rel costs-mvble equip | $352,416 | ||||
| Central services & supply | $92,723 | $350,184 | 1,127 | ||
| Pharmacy | $678 | $245,582 | 285 | ||
| Medical records & library | $162,388 | $213,474 | 483 | ||
| Housekeeping | $156,509 | $185,950 | 248 | ||
| Dietary | $145,327 | $182,231 | 1,166 | ||
| Nursing administration | $127,383 | 322 | |||
| Cap rel costs-bldg & fixt - clinic | $59,540 | ||||
| Social service | $53,652 | $54,401 | |||
| Laundry & linen service | $1,824 | $4,901 | 1,083 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837528, 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 officers and board members on Keefe Memorial Hospital'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; the first 7 of 13 are shown.
340B drug pricing program
Participating since 2020
340B ID CAH061343-00, registered as a critical access hospital; 2 registered outpatient sites; 1 active contract pharmacies. Authorizing official: Casey L Halde, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Keefe memorial hospital
CCN 06Z343, certified 2017, Medicare cost reimbursed
Keefe memorial hospital
CCN 06Z343, certified 2017
Prairie view health clinic
CCN 063985, certified 1996, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Keefe Memorial Hospital's latest Medicare cost report (HCRIS).
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. 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 $301 to $4,608 across 4 insurers. Aetna's rate is $301. 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. 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 $322. What a patient pays depends on their plan's deductible, coinsurance and network status.
Keefe Memorial Hospital reported 28 inpatient discharges and 351 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Keefe Memorial Hospital reported 60 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Keefe Memorial Hospital reported $12.7M in net patient revenue on $15.6M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -34.5%, and net income of -$1.6M.
Keefe Memorial Hospital reported $300,553 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $151,750 of charity care at cost.
Keefe Memorial Hospital's Medicare enrollment lists Claressa L Millsap as CEO since 2022.
Insurers' price transparency files list Keefe Memorial Hospital under employer identification number 47-2340447 (Keefe Memorial Health Service District). 50 health plans and networks list 47-2340447 for it.
Yes. HRSA's 340B database lists Keefe Memorial Hospital (340B ID CAH061343-00) as a participating critical access hospital since 2020, with 1 active contract pharmacies.
30 clinicians who bill Medicare list Keefe Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (9), family medicine physician (5), emergency medicine physician (3).
CMS's Provider of Services file lists no accrediting organization for Keefe Memorial Hospital; it is certified for Medicare through state survey.
Keefe Memorial Hospital has 11 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 25 are Medicare-certified beds in CMS's Provider of Services file. Facility type: HOSPITAL.
Keefe Memorial Hospital is located at 602 N 6TH ST W, Cheyenne Wells, CO 80810. Its main phone number is (719) 767-5661.
Keefe Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 061343.
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