CMS Price Transparency Data

Drug screening test

Facility: Holy Family Memorial

Billing Code: G0480 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.9× the $114 Medicare rate · typically $103–$183
modeled estimate · not a bill or quote
What this hospital charges insurers
$117
About the fair price
about $14 over the fair price · 1.0× Medicare
Medicare pays $114 Fair price $103 This hospital $117

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 $74 Priciest $117

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

A fair price for a Drug screening test is about $103 (about 0.9× the $114 Medicare rate). Holy Family Memorial charges insurers about $117 — 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 $114 - $137 100%
Blue Cross Blue Shieldmajor $114 - $149 100%
Humanamajor $114 100%
HealthPartners $114 100%
Molina $114 - $124 100%
Security Health Plan $114 100%
+ 6 smaller / regional plans $114 - $295

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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