CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Holy Family Memorial

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 0.8× the $126 Medicare rate · typically $87–$201
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
Above the fair price
about $16 over the fair price · 1.0× Medicare
Medicare pays $126 Fair price $104 This hospital $120 Cash price $264 Hospital's list price $480

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 $34 Priciest $120

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

A fair price for a Screening mammogram (both breasts) is about $104 (about 0.8× the $126 Medicare rate). Holy Family Memorial charges insurers about $120, or about $264 in cash — above the fair price. Located in Manitowoc, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $104. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $119 - $203 94%
Blue Cross Blue Shieldmajor $119 - $182 94%
Cignamajor $346 274%
Humanamajor $119 94%
Dean Health Plan $240 190%
Health Net $288 228%
HealthPartners $119 - $312 94%
Molina $119 - $129 94%
Security Health Plan $119 - $384 94%
+ 13 smaller / regional plans $119 - $384
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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2300 Western Ave, Manitowoc, WI 54221
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals