CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Melissa Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$96
about 0.8× the $118 Medicare rate · typically $61–$235
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $3 under the fair price · 0.8× Medicare
Medicare pays $118 Fair price $96 This hospital $93 Cash price $225 Hospital's list price $281

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $72 Priciest $93

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $96 (about 0.8× the $118 Medicare rate). Melissa Memorial Hospital charges insurers about $93, or about $225 in cash — about the fair price. Located in Holyoke, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $85 - $270 72%
Aetnamajor $93 - $298 79%
Cignamajor $294 250%
Humanamajor $187 - $292 159%
Medica $276 235%
+ 2 smaller / regional plans $242 - $292
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 E Johnson St, Holyoke, CO 80734
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals