CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Holy Family Memorial

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$37
about 0.9× the $40 Medicare rate · typically $13–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $4 over the fair price · 1.0× Medicare
Medicare pays $40 Fair price $37 This hospital $41

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 $13 Priciest $41

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

A fair price for a Diagnostic procedure preparation is about $37 (about 0.9× the $40 Medicare rate). Holy Family Memorial charges insurers about $41 — 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 $41 101%
Blue Cross Blue Shieldmajor $41 101%
Humanamajor $41 101%
HealthPartners $41 101%
Molina $41 - $44 101%
Security Health Plan $41 101%
+ 4 smaller / regional plans $41 - $42

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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