Lamar, CO
29
In-network payers
143
Disclosed rate categories
25
Beds
Prowers Medical Center is a 25-bed government - hospital district or authority hospital in Lamar, CO. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 143 disclosed rate categories.
CCN (Medicare provider number)
061323
NPI
1821052929
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
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 Prowers 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.
CT imaging
CPT 74177
$4,430 - $4,764
from 4 insurers · median $4,574
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,371 - $1,572
from 4 insurers · median $1,547
Typical for a hospital with this service line
CT imaging
CPT 74176
$3,217 - $3,328
from 4 insurers · median $3,322
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,914 - $3,069
from 4 insurers · median $3,020
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,516 - $2,096
from 4 insurers · median $2,063
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$491 - $507
from 4 insurers · median $505
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,319 - $3,428
from 4 insurers · median $3,428
Typical for a hospital with this service line
Mammography
CPT 77067
$363 - $404
from 4 insurers · median $397
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,165 - $3,268
from 4 insurers · median $3,268
Typical for a hospital with this service line
MRI imaging
CPT 73721
$3,645 - $3,764
from 3 insurers · median $3,764
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,807 - $2,898
from 4 insurers · median $2,883
Typical for a hospital with this service line
Ultrasound
CPT 76705
$968 - $999
from 4 insurers · median $994
Typical for a hospital with this service line
Ultrasound
CPT 76856
$1,705 - $1,764
from 4 insurers · median $1,764
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,766 - $1,824
from 4 insurers · median $1,824
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,563 - $1,614
from 4 insurers · median $1,614
Typical for a hospital with this service line
Ultrasound
CPT 76642
$897 - $1,042
from 4 insurers · median $1,026
Typical for a hospital with this service line
Ultrasound
CPT 76536
$1,307 - $1,350
from 4 insurers · median $1,350
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$498 - $514
from 4 insurers · median $511
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$762 - $3,623
from 4 insurers · median $787
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$697 - $720
from 4 insurers · median $716
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$486 - $502
from 4 insurers · median $499
Typical for a hospital with this service line
X-ray and bone density
CPT 73610
$469 - $546
from 4 insurers · median $538
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,938 - $3,034
from 4 insurers · median $3,034
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$949 - $980
from 4 insurers · median $980
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 | 805% | 21 | 0 |
| Insurer B* | 24 | 805% | 21 | 0 |
| Insurer C* | 24 | 780% | 23 | 1 |
| Insurer D* | 23 | 667% | 21 | 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 Prowers Medical Center.
401 Kendall Drive, Lamar, CO 81052
(719) 336-4343
The nearest hospitals of similar type and size. Their rates are compared with Prowers Medical Center for the same insurers and services above.
Weisbrod Memorial County Hospital
â–¼ Rates typically 36% lower than Prowers Medical Center (16 services)
Southeast Colorado Hospital
â–¼ Rates typically 40% lower than Prowers Medical Center (23 services)
Hamilton County Hospital
â–¼ Rates typically 66% lower than Prowers Medical Center (24 services)
Arkansas Valley Regl Med Ctr
â–¼ Rates typically 31% lower than Prowers Medical Center (24 services)
Greeley County Health Services
â–¼ Rates typically 66% lower than Prowers Medical Center (24 services)
Stanton County Hospital
â–¼ Rates typically 60% lower than Prowers Medical Center (24 services)
Wray Community District Hospital
Kremmling Memorial Hospital District
Colorado Canyons Hospital & Medical Center
Gunnison Valley Hospital
About Prowers Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Prowers Medical Center range from $3,319 to $3,428 across 4 insurers. Cigna's rate is $3,428. The median at nearby comparable hospitals is $1,508. 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 Prowers Medical Center range from $4,430 to $4,764 across 4 insurers. Aetna's rate is $4,764. The median at nearby comparable hospitals is $1,504. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Prowers Medical Center range from $1,766 to $1,824 across 4 insurers. Anthem Blue Cross Blue Shield's rate is $1,766. The median at nearby comparable hospitals is $1,318. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Prowers Medical Center range from $363 to $404 across 4 insurers. Cigna's rate is $404. The median at nearby comparable hospitals is $157. What a patient pays depends on their plan's deductible, coinsurance and network status.
Prowers Medical Center has 25 beds. Facility type: Critical Access Hospital.
Prowers Medical Center is located at 401 Kendall Drive, Lamar, CO 81052. Its main phone number is (719) 336-4343.
Prowers Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 061323.
The National Provider Identifier (NPI) on file for Prowers Medical Center is 1821052929.
Prowers Medical Center lists 29 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.
143 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