Melissa Memorial Hospital
Holyoke, CO · Critical Access Hospital
Posts prices for 48 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-10.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) range across 2 matching MRF lines |
$868–$6,218.40 | $1,085–$7,773 | varies |
| Shoulder arthroscopy with decompression (29826) range across 2 matching MRF lines |
$368.80–$6,437.60 | $461–$8,047 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$1,136–$6,812.80 | $1,420–$8,516 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$815.20–$2,454.40 | $1,019–$3,068 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$917.60–$1,746.40 | $1,147–$2,183 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$980.80–$2,046.40 | $1,226–$2,558 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$1,095.20–$2,544 | $1,369–$3,180 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$1,304–$2,544 | $1,630–$3,180 | varies |
| Laparoscopic gallbladder removal (47562) range across 2 matching MRF lines |
$1,389.60–$8,651.20 | $1,737–$10,814 | varies |
| Inguinal hernia repair (age 5+) (49505) range across 2 matching MRF lines |
$1,368–$8,651.20 | $1,710–$10,814 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$160–$1,572.80 | $200–$1,966 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,120 | $1,400 | 1.2× |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $1,965.60 | $2,457 | 3.4× |
| Cataract removal with lens insertion (66984) | $5,804.80 | $7,256 | 2.4× |
| CT head/brain without contrast (70450) | $1,633.60 | $2,042 | 14.8× |
| MRI brain without contrast (70551) | $2,358.40 | $2,948 | 9.4× |
| MRI brain with contrast (70552) | $2,596 | $3,245 | 7.1× |
| MRI brain without and with contrast (70553) | $3,239.20 | $4,049 | 8.8× |
| X-ray lower spine, 4+ views (72110) | $567.20 | $709 | 5.1× |
| MRI lumbar spine without contrast (72148) | $2,509.60 | $3,137 | 10.0× |
| CT pelvis with contrast (72193) | $2,063.20 | $2,579 | 11.2× |
| MRI lower-extremity joint without contrast (73721) | $2,324.80 | $2,906 | 9.2× |
| CT abdomen and pelvis with contrast (74177) | $3,486.40 | $4,358 | 9.5× |
| Ultrasound, abdomen complete (76700) | $700 | $875 | 6.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $619.20 | $774 | 5.6× |
| Ultrasound, transvaginal (76830) | $553.60 | $692 | 5.0× |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$160–$192 | $200–$240 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$160–$192 | $200–$240 | varies |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$160–$192 | $200–$240 | varies |
| Basic metabolic panel (80048) | $133.60 | $167 | 15.8× |
| Comprehensive metabolic panel (80053) | $144 | $180 | 13.6× |
| Obstetric panel (80055) | $144 | $180 | 3.0× |
| Lipid panel (80061) range across 2 matching MRF lines |
$13.60–$128.80 | $17–$161 | varies |
| Renal function panel (80069) | $162.40 | $203 | 18.7× |
| Hepatic function panel (80076) | $75.20 | $94 | 9.2× |
| Urinalysis, non-automated, without microscopy (81002) | $43.20 | $54 | 12.4× |
| PSA, total (84153) range across 2 matching MRF lines |
$107.20–$136 | $134–$170 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$70.40–$135.20 | $88–$169 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$16–$88.80 | $20–$111 | varies |
| CBC, automated (85027) | $73.60 | $92 | 11.4× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$32–$60 | $40–$75 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$80.80–$90.40 | $101–$113 | varies |
| Psychotherapy, 30 minutes (90832) | $208.80 | $261 | 1.1× |
| Sleep study (attended polysomnography) (95810) | $3,044 | $3,805 | 3.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 5 matching MRF lines |
$8–$126.40 | $10–$158 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$204–$245.60 | $255–$307 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$290.40–$365.60 | $363–$457 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$344–$484 | $430–$605 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 188 codes with posted prices and Medicare benchmarks
- Lab & pathology: 570 codes with posted prices and Medicare benchmarks
- Visits & medical services: 122 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 507 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 22 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 24.9 MB) ↓ — captured 2026-09-10
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.