CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$440 - $4,179
from 4 insurers · median $3,976
Typical for a hospital with this service line
Holyoke, CO
23
In-network payers
76
Disclosed rate categories
15
Beds
Melissa Memorial Hospital is a 15-bed government - hospital district or authority hospital in Holyoke, CO. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 76 disclosed rate categories.
CCN (Medicare provider number)
061305
NPI
1891733879
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
15
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 Melissa 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
$440 - $4,179
from 4 insurers · median $3,976
Typical for a hospital with this service line
CT imaging
CPT 70450
$228 - $1,958
from 4 insurers · median $1,863
Typical for a hospital with this service line
CT imaging
CPT 74176
$225 - $3,822
from 4 insurers · median $3,635
Typical for a hospital with this service line
CT imaging
CPT 71275
$562 - $3,100
from 4 insurers · median $2,949
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$301 - $2,366
from 4 insurers · median $2,245
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,541 - $3,928
from 4 insurers · median $3,865
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,767 - $3,085
from 4 insurers · median $3,035
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$471 - $3,050
from 4 insurers · median $2,894
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,899 - $2,118
from 4 insurers · median $2,084
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$314 - $350
from 4 insurers · median $341
Typical for a hospital with this service line
MRI imaging
CPT 72148
$540 - $3,008
from 4 insurers · median $2,862
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$568 - $4,433
from 4 insurers · median $4,227
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 70551
$540 - $2,827
from 4 insurers · median $2,689
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$6,345 - $7,038
from 4 insurers · median $6,926
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,408 - $10,490
from 4 insurers · median $10,322
Typical for a hospital with this service line
Mammography
CPT 77067
$209 - $233
from 4 insurers · median $229
Typical for a hospital with this service line
MRI imaging
CPT 74183
$836 - $4,058
from 4 insurers · median $3,870
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$280 - $2,453
from 4 insurers · median $2,328
Typical for a hospital with this service line
Ultrasound
CPT 76705
$120 - $680
from 4 insurers · median $647
Typical for a hospital with this service line
Gynecology
CPT 58558
$7,090 - $7,865
from 4 insurers · median $7,739
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$19 - $173
from 4 insurers · median $165
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$154 - $916
from 4 insurers · median $873
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$512 - $568
from 4 insurers · median $559
Typical for a hospital with this service line
Ultrasound
CPT 76856
$162 - $752
from 4 insurers · median $715
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 | 581% | 0 | 0 |
| Insurer B* | 24 | 576% | 6 | 0 |
| Insurer C* | 24 | 530% | 8 | 6 |
| Insurer D* | 24 | 218% | 3 | 13 |
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 Melissa Memorial Hospital.
1001 East Johnson Street, Holyoke, CO 80734
(970) 854-2241
About Melissa Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Melissa Memorial Hospital range from $3,541 to $3,928 across 4 insurers. Anthem Blue Cross Blue Shield's rate is $3,541. The median at nearby comparable hospitals is $3,316. 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 Melissa Memorial Hospital range from $440 to $4,179 across 4 insurers. Aetna's rate is $440. The median at nearby comparable hospitals is $2,859. 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 Melissa Memorial Hospital range from $2,767 to $3,085 across 4 insurers. Cigna's rate is $3,050. The median at nearby comparable hospitals is $1,016. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Melissa Memorial Hospital range from $209 to $233 across 4 insurers. Aetna's rate is $233. The median at nearby comparable hospitals is $244. What a patient pays depends on their plan's deductible, coinsurance and network status.
Melissa Memorial Hospital has 15 beds. Facility type: Critical Access Hospital.
Melissa Memorial Hospital is located at 1001 East Johnson Street, Holyoke, CO 80734. Its main phone number is (970) 854-2241.
Melissa Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 061305.
The National Provider Identifier (NPI) on file for Melissa Memorial Hospital is 1891733879.
Melissa Memorial Hospital lists 23 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
76 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.
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{
"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