CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Holy Family Memorial

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$26,115
about 1.9× the $14,044 Medicare rate · typically $16,521–$27,885
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,855
About the fair price
about $740 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $26,115 This hospital $26,855

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 $13,222 Priciest $26,855

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

A fair price for a Hip or knee replacement (inpatient stay) is about $26,115 (about 1.9× the $14,044 Medicare rate). Holy Family Memorial charges insurers about $26,855 — 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 $13,501 - $56,833 96%
Blue Cross Blue Shieldmajor $13,501 - $33,956 96%
Humanamajor $13,501 96%
Dean Health Plan $33,570 239%
HealthPartners $13,501 - $39,299 96%
Molina $13,501 - $14,581 96%
Security Health Plan $13,501 96%
+ 9 smaller / regional plans $13,501 - $43,516

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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