Froedtert and The Medical College of Wisconsin · Manitowoc, WI
35
In-network payers
218
Disclosed rate categories
167
Beds
4
Care quality
Holy Family Memorial Medical Center is a 167-bed voluntary non-profit - other hospital in Manitowoc, WI, affiliated with Froedtert and The Medical College of Wisconsin. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 218 disclosed rate categories.
CCN (Medicare provider number)
520107
NPI
1700998697
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
167
Care Quality
4
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.
The 24 services Holy Family Memorial Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,578 - $17,890
from 3 insurers · median $10,862
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,077 - $21,110
from 3 insurers · median $15,297
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 807
$5,578 - $17,890
from 3 insurers · median $10,862
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$70,861 - $76,260
from 2 insurers · median $73,560
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$45,240 - $51,083
from 3 insurers · median $50,738
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$390 - $3,480
from 4 insurers · median $1,060
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$29,806 - $38,801
from 3 insurers · median $35,744
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 70450
$117 - $1,266
from 4 insurers · median $758
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$1,161 - $6,754
from 4 insurers · median $4,358
91 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$1,445 - $10,605
from 4 insurers · median $7,887
28 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$1,283 - $4,827
from 4 insurers · median $3,762
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,561 - $6,754
from 4 insurers · median $3,587
72 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,219 - $4,969
from 4 insurers · median $3,773
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$2,894 - $17,360
from 4 insurers · median $13,238
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,342 - $6,208
from 3 insurers · median $4,641
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$636 - $1,845
from 4 insurers · median $1,125
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$156 - $363
from 4 insurers · median $236
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,268 - $4,827
from 4 insurers · median $3,382
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$377 - $4,130
from 4 insurers · median $1,479
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$347 - $2,590
from 4 insurers · median $1,018
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$217 - $3,047
from 4 insurers · median $2,022
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,975 - $17,174
from 4 insurers · median $11,248
Typical for a hospital with this service line
CT imaging
CPT 74176
$180 - $2,975
from 4 insurers · median $907
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$39 - $459
from 4 insurers · median $180
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 395% | 17 | 2 |
| Insurer B* | 18 | 328% | 8 | 5 |
| Insurer C* | 23 | 248% | 2 | 16 |
| Insurer D* | 23 | 141% | 3 | 16 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Holy Family Memorial Medical Center.
2300 Western Avenue, Manitowoc, WI 54220
(920) 320-2011
The nearest hospitals of similar type and size. Their rates are compared with Holy Family Memorial Medical Center for the same insurers and services above.
St. Nicholas Hospital
▲ Rates typically 16% higher than Holy Family Memorial Medical Center (21 services)
Aurora Sheboygan Memorial Medical Center
▲ Rates typically 10% higher than Holy Family Memorial Medical Center (21 services)
Aurora Baycare Medical Center
▲ Rates typically 29% higher than Holy Family Memorial Medical Center (21 services)
Bellin Hospital
▼ Rates typically 10% lower than Holy Family Memorial Medical Center (21 services)
St. Marys Hospital Medical Center
▲ Rates typically 11% higher than Holy Family Memorial Medical Center (21 services)
Ne Wisconsin - St. Elizabeth Campus
▼ Rates typically 18% lower than Holy Family Memorial Medical Center (21 services)
Froedtert Pleasant Prairie Hospital
Froedtert West Bend Hospital
Froedtert Community Hospital - New Berlin
Froedtert Menomonee Falls Hospital
About Holy Family Memorial Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Holy Family Memorial Medical Center range from $377 to $4,130 across 4 insurers. Aetna's rate is $4,130. The median at nearby comparable hospitals is $2,220. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Holy Family Memorial Medical Center range from $390 to $3,480 across 4 insurers. Aetna's rate is $3,480. The median at nearby comparable hospitals is $2,224. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Holy Family Memorial Medical Center range from $1,283 to $4,827 across 4 insurers. Blue Cross Blue Shield's rate is $3,547. The median at nearby comparable hospitals is $3,372. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Holy Family Memorial Medical Center range from $5,578 to $17,890 across 3 insurers. UnitedHealthcare's rate is $10,862. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Holy Family Memorial Medical Center range from $156 to $363 across 4 insurers. Blue Cross Blue Shield's rate is $156. The median at nearby comparable hospitals is $354. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Holy Family Memorial Medical Center range from $29,806 to $38,801 across 3 insurers. Cigna's rate is $29,806. The median at nearby comparable hospitals is $32,265. What a patient pays depends on their plan's deductible, coinsurance and network status.
Holy Family Memorial Medical Center has 167 beds. Facility type: Short Term Acute Care Hospital.
Holy Family Memorial Medical Center is located at 2300 Western Avenue, Manitowoc, WI 54220. Its main phone number is (920) 320-2011.
Holy Family Memorial Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 520107.
The National Provider Identifier (NPI) on file for Holy Family Memorial Medical Center is 1700998697.
Holy Family Memorial Medical Center is affiliated with Froedtert and The Medical College of Wisconsin.
Holy Family Memorial Medical Center lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
218 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers