Based on public Medicaid payment data.
Holy Family Memorial Inc
Medicaid Provider in Manitowoc, WI
Type
Organization
Address
2300 Western Ave
Manitowoc, WI 542203712
Phone
9203202011
NPI
1700998697
Procedures
23
Total Claims
165.3K
Patients Served
128.1K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $9.26 | 78,510 | 59,899 |
| Emergency Room Visit | $54.05 | 27,365 | 23,211 |
| Urinalysis & Urine Tests | $9.42 | 14,464 | 12,276 |
| EKG / ECG (Electrocardiogram) | $1.98 | 7,283 | 6,015 |
| X-Ray | $1.88 | 6,940 | 5,954 |
| Physical Therapy | $5.11 | 6,802 | 2,126 |
| Culture & Microbiology Tests | $9.53 | 5,922 | 4,902 |
| Prescription Medications | $0.05 | 5,468 | 4,080 |
| CT Scan (Computed Tomography) | $57.20 | 3,755 | 3,270 |
| Pathology & Lab Services | $3.29 | 2,933 | 1,734 |
| Pulmonary Function Test | $35.15 | 1,346 | 934 |
| Ultrasound | $36.56 | 888 | 758 |
| Mammogram | $23.88 | 788 | 718 |
| Office Visit | $46.32 | 774 | 630 |
| Psychiatric Evaluation | $3.16 | 749 | 537 |
| Echocardiogram | $66.61 | 339 | 287 |
| Upper Endoscopy (EGD) | $170.44 | 339 | 300 |
| Vaccines & Immunizations | $2.30 | 225 | 204 |
| MRI (Magnetic Resonance Imaging) | $43.31 | 152 | 133 |
| Colonoscopy | $143.76 | 98 | 87 |
| Non-Emergency Medical Transportation | $0.00 | 76 | 25 |
| Podiatry (Foot Care) | $6.28 | 60 | 57 |
| Chiropractic Care | $0.83 | 25 | 12 |
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