CMS Price Transparency Data

Injection procedure for pain management

Facility: Holy Family Memorial

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$727
about 1.0× the $721 Medicare rate · typically $670–$1,783
modeled estimate · not a bill or quote
What this hospital charges insurers
$665
About the fair price
about $62 under the fair price · 0.9× Medicare
Medicare pays $721 Fair price $727 This hospital $665

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WI hospitals compared.

Cheapest $576 Priciest $669

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

A fair price for a Injection procedure for pain management is about $727 (about 1.0× the $721 Medicare rate). Holy Family Memorial charges insurers about $665 — 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 $659 - $4,793 91%
Blue Cross Blue Shieldmajor $659 - $1,241 91%
Humanamajor $659 91%
HealthPartners $659 91%
Molina $659 - $711 91%
Security Health Plan $659 91%
+ 4 smaller / regional plans $659 - $3,258

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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