Froedtert Community Hospital - Mequon — price list

← Hospital overviewVerified from Froedtert Community Hospital - Mequon’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
0.9% NaCl (mini-bag plus) Solution 100 mL Flex Cont Inpatient	0250 RC	$81.10	$44.61	$48.66 – $71.37	—
0.9% NaCl with KCl 20 mEq solution 1000 mL 20-0.9 MEQ/L-% Solution 1,000 mL Flex Cont Inpatient	0258 RC	$204	$112	$122 – $180	—
acetaminophen 120 MG Suppos 12 Each Box Inpatient	0250 RC	$4.70	$2.59	$2.82 – $4.14	—
acetaminophen 160 MG/5ML Solution 5 mL Cup Inpatient	0250 RC	$8.67	$4.77	$5.20 – $7.63	—
acetaminophen 160 MG/5ML Solution 5 mL Oral Syringe Inpatient	0250 RC	$4.20	$2.31	$2.52 – $3.70	—
acetaminophen 40 mg/1.25 mL Solution 1.25 mL Oral Syringe Inpatient	0250 RC	$8.03	$4.42	$4.82 – $7.07	—
acetaminophen 80 MG Suppos 6 Each Box Inpatient	0250 RC	$6.27	$3.45	$3.76 – $5.52	—
acetaminophen/codeine 300-30 mg Tab 100 Each Box Inpatient	0250 RC	$11.26	$6.20	$6.76 – $9.91	—
albumin human 25 % Solution 50 mL Vial Inpatient	P9047 HCPCS	$660	$363	$396 – $581	—
albuterol HFA 108 (90 Base) MCG/ACT Aero Soln 6.7 g Inhaler Inpatient	0250 RC	$146	$80.27	$87.56 – $128	—
amiodarone 360 mg/200 mL Solution 200 mL Plas Cont Inpatient	0250 RC	$353	$194	$212 – $311	—
amoxicillin 250 MG Cap 100 Each Bottle Inpatient	0250 RC	$8.38	$4.61	$5.03 – $7.37	—
ampicillin/sulbactam 3 (2-1) g Recon Soln 1 Each Vial Inpatient	J0295 HCPCS	$86.28	$47.46	$51.77 – $75.93	—
aspirin 81 MG Tablet Delayed Response 1,000 Each Bottle Inpatient	0250 RC	$4.04	$2.23	$2.42 – $3.56	—
atenolol 25 MG Tab 100 Each Box Inpatient	0250 RC	$8.20	$4.51	$4.92 – $7.22	—
aztreonam Recon Soln 1 Each Vial Inpatient	J0457 HCPCS	$179	$98.34	$107 – $157	—
bacitracin/polymyxin B 500-10000 UNIT/GM Ointment 3.5 g Tube Inpatient	0250 RC	$100	$55.13	$60.14 – $88.20	—
benzocaine-menthol Lozenge 8 Each Package Inpatient	0250 RC	$8.29	$4.56	$4.97 – $7.30	—
benzonatate 100 MG Cap 100 Each Box Inpatient	0250 RC	$9.53	$5.25	$5.72 – $8.39	—
buprenorphine 8 MG SL Tab 30 Each Bottle Inpatient	0250 RC	$14.36	$7.90	$8.62 – $12.64	—
buPROPion HCl 150 MG Tablet Extended Release 24 Hour 90 Each Bottle Inpatient	0250 RC	$8.42	$4.64	$5.05 – $7.41	—
cefepime Recon Soln 1 Each Vial Inpatient	J0692 HCPCS	$63.70	$35.04	$38.22 – $56.06	—
cefOXitin 1 g Recon Soln 1 Each Vial Inpatient	J0694 HCPCS	$70.00	$38.50	$42.00 – $61.60	—
cefTRIAXone 2 g Recon Soln 1 Each Vial Inpatient	J0696 HCPCS	$70.00	$38.50	$42.00 – $61.60	—
cefTRIAXone 500 MG Recon Soln 1 Each Vial Inpatient	J0696 HCPCS	$40.63	$22.35	$24.38 – $35.75	—
clindamycin hydrochloride 150 MG Cap 100 Each Box Inpatient	0250 RC	$9.45	$5.20	$5.67 – $8.32	—
cloBAZam 10 MG Tab 1 Each Blister Inpatient	0250 RC	$14.46	$7.96	$8.68 – $12.72	—
cyclobenzaprine 5 MG Tab 100 Each Bottle Inpatient	0250 RC	$8.16	$4.49	$4.90 – $7.18	—
cyclopentolate 1 % Solution 2 mL Bottle Inpatient	0250 RC	$61.37	$33.76	$36.82 – $54.01	—
dexAMETHasone 1 MG/ML Conc 5 mL Oral Syringe Inpatient	J8540 HCPCS	$18.93	$10.42	$11.36 – $16.66	—