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MELISSA MEMORIAL HOSPITAL

Holyoke, CO · CCN 061305 · Rates published

3,217 distinct procedures filed
21 distinct payers
69,220 rate rows
2026-07-10 last MRF observed

69,039 of 69,220 rate rows are consumer-grade (99.7%)

181 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-charges filed in the dollar field — excluded from medians 112
per-diem day rate — not a per-procedure price 28
exceeds 10× this hospital's gross charge — excluded from medians 25
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16
↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMMHHOLYOKECO&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Melissa_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-30
Content fingerprint c7992084109c5d71… · 25,072,042 bytes · first seen 2026-07-31

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J0225
HCPCS
Injection, Vutrisiran, 1 Mg 16 $218,458.08 $347,384.16 $340,221.60 nat. median
$8,223

outlier · 41.4×
J2350
HCPCS
Injection, Ocrelizumab, 1 Mg 17 $32,613.65 $51,861.05 $50,791.75 nat. median
$470

outlier · 108.1×
J3101
HCPCS
Injection, Tenecteplase, 1 Mg 17 $10,329.11 $37,410.96 $36,639.60 nat. median
$3,820

outlier · 9.6×
J7168
HCPCS
Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 17 $3,750.77 $31,508.51 $30,858.85 nat. median
$21

outlier · 1469.5×
J9022
HCPCS
Injection, Atezolizumab, 10 Mg 17 $16,422.85 $28,732.37 $28,139.95 nat. median
$6,785

outlier · 4.1×
J1930
HCPCS
Injection, Lanreotide, 1 Mg 17 $10,329.11 $27,898.17 $27,322.95 nat. median
$5,088

outlier · 5.4×
J9228
HCPCS
Injection, Ipilimumab, 1 Mg 17 $16,422.85 $26,421.83 $25,877.05 nat. median
$9,003

outlier · 2.9×
J9316
HCPCS
Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg 17 $9,267.71 $25,424.08 $24,899.87 nat. median
$384

outlier · 64.9×
27415
HCPCS
Implantation Of Donor Cartilage Cells Into Knee Joint 17 $12,143.75 $24,229.63 $23,730.05 nat. median
$11,826

outlier · 2.0×
27428
HCPCS
Reconstruction Ligaments Inside Knee Joint 17 $15,237.19 $24,229.63 $23,730.05 nat. median
$11,589

outlier · 2.0×
27437
HCPCS
Repair Of Kneecap 17 $7,641.04 $24,229.63 $23,730.05 nat. median
$6,939

outlier · 3.4×
J9299
HCPCS
Injection, Nivolumab, 1 Mg 17 $10,329.11 $23,186.88 $22,708.80 nat. median
$2,889

outlier · 7.9×
28297
HCPCS
Correction Of Bunion With Forefoot And Midfoot Bone Fusion 17 $12,481.01 $23,017.13 $22,542.55 nat. median
$7,585

outlier · 3.0×
J9223
HCPCS
Injection, Lurbinectedin, 0.1 Mg 17 $9,267.71 $22,858.05 $22,386.75 nat. median
$617

outlier · 36.3×
J3380
HCPCS
Injection, Vedolizumab, Intravenous, 1 Mg 17 $10,329.11 $22,518.55 $22,054.25 nat. median
$162

outlier · 136.1×
J9217
HCPCS
Leuprolide Acetate (for Depot Suspension), 7.5 Mg 17 $740.79 $27,491.74 $17,954.05 nat. median
$1,575

outlier · 11.4×
J9306
HCPCS
Injection, Pertuzumab, 1 Mg 17 $9,267.71 $17,226.23 $16,871.05 nat. median
$80

outlier · 211.9×
J7336
HCPCS
Capsaicin 8% Patch, Per Square Centimeter 17 $1,036.11 $17,157.36 $16,803.60 nat. median
$6

outlier · 2852.9×
26536
HCPCS
Replacement Of Finger Joint With Prosthesis 17 $7,641.04 $17,042.90 $16,691.50 nat. median
$6,971

outlier · 2.4×
23550
HCPCS
Treatment Of Dislocated Joint Between Collar Bone And Shoulder 17 $10,717.70 $17,042.90 $16,691.50 nat. median
$7,026

outlier · 2.4×
90375
HCPCS
Rabies Immune Globulin For Injection 17 $2,680.32 $16,780.03 $16,434.05 nat. median
$1,056

outlier · 15.6×
23485
HCPCS
Incision Or Partial Removal Of Collar Bone With Bone Graft 17 $877.56 $24,250.00 $15,631.25 nat. median
$11,715

1.3× median
J9271
HCPCS
Injection, Pembrolizumab, 1 Mg 17 $9,629.46 $16,422.85 $14,996.70 nat. median
$276

outlier · 54.4×
J2790
HCPCS
Injection, Rho D Immune Globulin, Human, Full Dose, 300 Micrograms (1500 I.u.) 17 $230.00 $14,513.14 $14,213.90 nat. median
$208

outlier · 68.2×
J0717
HCPCS
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 17 $2,680.32 $14,324.96 $14,029.60 nat. median
$1,598

outlier · 8.8×
42830
HCPCS
Primary Removal Of Adenoids (younger Than 12 Years) 17 $4,653.19 $13,567.39 $13,287.65 nat. median
$3,387

outlier · 3.9×
23472
HCPCS
Prosthetic Repair Of Shoulder Joint, Total Shoulder 17 $1,304.82 $20,328.29 $13,103.36 nat. median
$16,660

0.8× median
J2506
HCPCS
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 16 $7,870.83 $21,313.81 $12,959.72 nat. median
$1,646

outlier · 7.9×
27487
HCPCS
Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 17 $1,576.45 $20,326.86 $12,908.28 nat. median
$11,926

1.1× median
J2356
HCPCS
Injection, Tezepelumab-ekko, 1 Mg 16 $7,955.01 $12,649.77 $12,388.95 nat. median
$81

outlier · 152.4×
J7169
HCPCS
Injection, Coagulation Factor Xa (recombinant), Inactivated-zhzo (andexxa), 10 M… 17 $7,646.35 $35,975.93 $11,908.25 nat. median
$275

outlier · 43.3×
J9173
HCPCS
Injection, Durvalumab, 10 Mg 17 $3,750.77 $12,082.32 $11,833.20 nat. median
$1,119

outlier · 10.6×
J2353
HCPCS
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 17 $7,579.25 $12,052.25 $11,803.75 nat. median
$5,573

outlier · 2.1×
27698
HCPCS
Secondary Repair Of Disrupted Collateral Ligament Of Ankle 17 $604.62 $17,998.35 $11,601.51 nat. median
$6,552

1.8× median
J0401
HCPCS
Injection, Aripiprazole (abilify Maintena), 1 Mg 17 $2,680.32 $11,796.17 $11,552.95 nat. median
$1,939

outlier · 6.0×
49652
HCPCS
Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 17 $1,816.40 $12,532.40 $11,356.68 nat. median
$5,022

outlier · 2.3×
J9218
HCPCS
Leuprolide Acetate, Per 1 Mg 16 $7,131.51 $15,120.36 $11,275.97 nat. median
$322

outlier · 35.0×
19307
HCPCS
Removal Of Breast And Underarm Lymph Nodes 17 $1,125.43 $17,416.35 $11,226.36 nat. median
$6,798

1.7× median
J1162
HCPCS
Injection, Digoxin Immune Fab (ovine), Per Vial 17 $7,096.13 $11,284.01 $11,051.35 nat. median
$7,141

1.5× median
23420
HCPCS
Repair Of Complete Tear Of Shoulder Rotator Cuff With Release Of Pressure On Col… 17 $915.41 $17,472.61 $10,987.93 nat. median
$7,144

1.5× median
2720000120_1
CDM
Bioecm Active Barrier/km300exosomes/amnio2 16 $6,917.40 $10,999.80 $10,773.00 nat. median
$10,773

1.0× median
23410
HCPCS
Repair Of Acute Torn Shoulder Rotator Cuff 17 $772.80 $16,190.27 $10,289.82 nat. median
$6,849

1.5× median
J9354
HCPCS
Injection, Ado-trastuzumab Emtansine, 1 Mg 17 $6,349.49 $16,111.70 $10,096.73 nat. median
$4,219

outlier · 2.4×
27130
HCPCS
Replacement Of Thigh Bone And Hip Joint With Prosthesis 17 $1,164.91 $20,326.86 $10,080.91 nat. median
$13,098

0.8× median
49525
HCPCS
Repair Of Sliding Groin Hernia 17 $6,467.22 $10,283.94 $10,071.90 nat. median
$3,690

outlier · 2.7×
26113
HCPCS
Removal Of Growth Of Muscle Of Hand Or Finger, 1.5 Cm Or More 17 $2,873.64 $10,283.94 $10,071.90 nat. median
$2,059

outlier · 4.9×
49565
HCPCS
Repair Recurrent Incisional Or Ventral Hernia; Reducible 17 $6,467.22 $10,283.94 $10,071.90 nat. median
$3,073

outlier · 3.3×
28615
HCPCS
Treatment Of Dislocated Midfoot Bone 17 $808.53 $15,512.24 $9,999.00 nat. median
$6,809

1.5× median
29888
HCPCS
Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 17 $896.28 $15,511.27 $9,998.38 nat. median
$7,341

1.4× median
49566
HCPCS
Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated 17 $2,628.65 $10,883.40 $9,862.38 nat. median
$4,323

outlier · 2.3×

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