CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Melissa Memorial Hospital

Billing Code: 97750 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$57
about 1.7× the $34 Medicare rate · typically $27–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $13 under the fair price · 1.3× Medicare
Medicare pays $34 Fair price $57 This hospital $44 Cash price $67 Hospital's list price $84

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 $32 Priciest $44

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

A fair price for a Physical therapy (functional capacity test) is about $57 (about 1.7× the $34 Medicare rate). Melissa Memorial Hospital charges insurers about $44, or about $67 in cash — below the fair price — a good deal. 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 $35 - $68 104%
Aetnamajor $46 - $75 136%
Cignamajor $74 219%
Humanamajor $28 - $73 83%
Medica $69 205%
+ 2 smaller / regional plans $73 - $91
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