CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Holy Family Memorial

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,273
about 1.0× the $1,223 Medicare rate · typically $1,122–$2,200
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,133
Below the fair price — a good deal
about $140 under the fair price · 0.9× Medicare
Medicare pays $1,223 Fair price $1,273 This hospital $1,133

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 $166 Priciest $1,133

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

A fair price for a Colonoscopy with biopsy is about $1,273 (about 1.0× the $1,223 Medicare rate). Holy Family Memorial charges insurers about $1,133 — 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 $1,121 - $6,312 92%
Blue Cross Blue Shieldmajor $1,121 - $3,370 92%
Humanamajor $1,121 92%
HealthPartners $1,121 92%
Molina $1,121 - $1,211 92%
Security Health Plan $1,121 92%
+ 4 smaller / regional plans $1,121 - $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