CMS Price Transparency Data

Breast lump removal

Facility: Holy Family Memorial

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,341
about 1.1× the $4,000 Medicare rate · typically $2,920–$5,883
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,678
Below the fair price — a good deal
about $663 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $4,341 This hospital $3,678

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $479 Priciest $3,678

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

A fair price for a Breast lump removal is about $4,341 (about 1.1× the $4,000 Medicare rate). Holy Family Memorial charges insurers about $3,678 — below the fair price — a good deal. Located in Manitowoc, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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
UnitedHealthcaremajor $3,642 - $8,783 91%
Blue Cross Blue Shieldmajor $3,642 - $7,271 91%
Humanamajor $3,642 91%
HealthPartners $3,642 91%
Molina $3,642 - $3,933 91%
Security Health Plan $3,642 91%
+ 4 smaller / regional plans $3,642 - $5,796

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2300 Western Ave, Manitowoc, WI 54221
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals