CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Holy Family Memorial

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$125

about 0.8× the $157 Medicare rate · typically $103–$220

modeled estimate · not a bill or quote

What this hospital charges insurers

$147

Above the fair price

about $22 over the fair price · 0.9× Medicare

Medicare pays $157 Fair price $125 This hospital $147 Cash price $321 Hospital's list price $583

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 $45 Priciest $147

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

A fair price for a Diagnostic mammogram (both breasts) is about $125 (about 0.8× the $157 Medicare rate). Holy Family Memorial charges insurers about $147, or about $321 in cash — above the fair price. Located in Manitowoc, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $125. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$135 - $203	86%
Blue Cross Blue Shieldmajor	$147 - $182	94%
Cignamajor	$420	268%
Humanamajor	$147	94%
Dean Health Plan	$292	186%
Health Net	$350	223%
HealthPartners	$147 - $379	94%
Molina	$147 - $159	94%
Security Health Plan	$147 - $466	94%
+ 13 smaller / regional plans	$126 - $466

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 321), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Holy Family Memorial is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Holy Family Memorial

Compare: Diagnostic mammogram (both breasts) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.