CMS Price Transparency Data

X-ray, chest (single view)

Facility: Holy Family Memorial

Billing Code: 71045 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.9× the $89 Medicare rate · typically $76–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $6 over the fair price · 0.9× Medicare
Medicare pays $89 Fair price $78 This hospital $84 Cash price $105 Hospital's list price $191

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 $21 Priciest $84

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

A fair price for a X-ray, chest (single view) is about $78 (about 0.9× the $89 Medicare rate). Holy Family Memorial charges insurers about $84, or about $105 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 $84 - $597 94%
Blue Cross Blue Shieldmajor $29 - $84 33%
Cignamajor $138 155%
Humanamajor $84 94%
Dean Health Plan $96 108%
Health Net $115 129%
HealthPartners $84 - $124 94%
Molina $84 - $90 94%
Security Health Plan $84 - $153 94%
+ 13 smaller / regional plans $63 - $399
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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