CMS Price Transparency Data

Hepatitis B vaccine

Facility: Holy Family Memorial

Billing Code: 90744 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$35
modeled fair price · typically $29–$55
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $3 under the fair price
Fair price $35 This hospital $32 Cash price $62 Hospital's list price $113

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 0 charge more and 5 charge less, among the 9 WI hospitals compared.

Cheapest $17 Priciest $32

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

A fair price for a Hepatitis B vaccine is about $35. Holy Family Memorial charges insurers about $32, or about $62 in cash — 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.

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 $32 - $33 —
Blue Cross Blue Shieldmajor $32 - $43 —
Cignamajor $82 —
Humanamajor $32 —
Dean Health Plan $43 - $57 —
Health Net $68 —
HealthPartners $32 - $74 —
Molina $32 - $34 —
Security Health Plan $32 - $91 —
+ 13 smaller / regional plans $32 - $91
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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