CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Holy Family Memorial

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$39,671
about 1.7× the $23,504 Medicare rate · typically $27,188–$42,741
modeled estimate · not a bill or quote
What this hospital charges insurers
$44,975
About the fair price
about $5,304 over the fair price · 1.9× Medicare
Medicare pays $23,504 Fair price $39,671 This hospital $44,975

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 $15,202 Priciest $44,975

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $39,671 (about 1.7× the $23,504 Medicare rate). Holy Family Memorial charges insurers about $44,975 — 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 $22,611 - $95,181 96%
Blue Cross Blue Shieldmajor $22,611 - $56,868 96%
Humanamajor $22,611 96%
Dean Health Plan $56,221 239%
HealthPartners $22,611 - $65,816 96%
Molina $22,611 - $24,420 96%
Security Health Plan $22,611 96%
+ 9 smaller / regional plans $22,611 - $72,878

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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