CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Melissa Memorial Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$74
about 0.8× the $95 Medicare rate · typically $46–$190
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
About the fair price
about $4 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $74 This hospital $78 Cash price $134 Hospital's list price $168

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 $58 Priciest $78

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

A fair price for a Office visit, established patient (20-29 min) is about $74 (about 0.8× the $95 Medicare rate). Melissa Memorial Hospital charges insurers about $78, or about $134 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 $69 - $220 72%
Aetnamajor $75 - $242 79%
Cignamajor $162 - $240 170%
Humanamajor $103 - $238 108%
Medica $152 - $225 160%
+ 2 smaller / regional plans $139 - $238
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