CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Holy Family Memorial

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$237
about 1.0× the $244 Medicare rate · typically $232–$496
modeled estimate · not a bill or quote
What this hospital charges insurers
$235
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $244 Fair price $237 This hospital $235 Cash price $2,420 Hospital's list price $4,400

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 $69 Priciest $235

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, knee or other leg joint is about $237 (about 1.0× the $244 Medicare rate). Holy Family Memorial charges insurers about $235, or about $2,420 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 $230 - $2,440 94%
Blue Cross Blue Shieldmajor $230 - $2,364 94%
Cignamajor $3,168 1300%
Humanamajor $230 94%
Dean Health Plan $2,200 902%
Health Net $2,640 1083%
HealthPartners $230 - $2,860 94%
Molina $230 - $248 94%
Security Health Plan $230 - $3,520 94%
+ 13 smaller / regional plans $230 - $3,520
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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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