CMS Price Transparency Data

Colonoscopy (diagnostic)

Facility: Holy Family Memorial

Billing Code: 45378 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$972
about 1.0× the $950 Medicare rate · typically $874–$1,978
modeled estimate · not a bill or quote
What this hospital charges insurers
$876
About the fair price
about $96 under the fair price · 0.9× Medicare
Medicare pays $950 Fair price $972 This hospital $876

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 $153 Priciest $876

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

A fair price for a Colonoscopy (diagnostic) is about $972 (about 1.0× the $950 Medicare rate). Holy Family Memorial charges insurers about $876 — about the fair price. 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 $867 - $6,312 91%
Blue Cross Blue Shieldmajor $867 - $1,241 91%
Humanamajor $867 91%
HealthPartners $867 91%
Molina $867 - $936 91%
Security Health Plan $867 91%
+ 4 smaller / regional plans $867 - $4,326

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Facility Profile & Credentials

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