Holy Family Memorial Medical Center

Froedtert and The Medical College of Wisconsin

Hospital Overview

Facility Details

CCN

520107

NPI

1700998697

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Other

Beds

167

Contact Information

Address

2300 Western Avenue

Manitowoc, WI 54220

Phone

(920) 320-2011

Insurance Accepted

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

View this hospital's rates

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Payer	Category	Code Type & Group	Contract Type	Rate Compared to State Average
Aetna	Outpatient	HCPCS Drugs Administered Other than Oral Method Range: J0120 - J8999	Percentage of Bill Charged
Aetna	Outpatient	CPT Radiology Procedures Range: 70010 - 79999	Percentage of Bill Charged
Aetna	Facility	RC Room and Board Deluxe Private Range: 0140 - 0149	Percentage of Bill Charged
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Medical And Surgical Supplies Range: A4206 - A8004	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Coronavirus Diagnostic Panel Range: U0001 - U0005	Negotiated	Very High
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged
Aetna	Facility	RC Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) Range: 0270 - 0279	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Administrative, Miscellaneous and Investigational Range: A9150 - A9999	Percentage of Bill Charged
Aetna	Outpatient	HCPCS Procedures / Professional Services Range: G0008 - G9987	Percentage of Bill Charged