Froedtert Community Hospital - New Berlin — price list

← Hospital overviewVerified from Froedtert Community Hospital - New Berlin’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 with KCl 20 mEq solution 1000 mL 20-0.9 MEQ/L-% Solution 1,000 mL Flex Cont Outpatient	0258 RC	$204	$112	$81.60 – $180	—
acetaminophen 160 MG/5ML Solution 473 mL Bottle Outpatient	0250 RC	$27.41	$15.08	$10.96 – $24.12	—
acetaminophen 500 mg/15.6 mL Solution 15.6 mL Oral Syringe Outpatient	0250 RC	$4.49	$2.47	$1.80 – $3.95	—
acetaminophen/codeine 300-30 mg Tab 100 Each Box Outpatient	0250 RC	$11.26	$6.20	$4.50 – $9.91	—
acetylcysteine 200 MG/ML Solution 30 mL Vial Outpatient	J0132 HCPCS	$665	$366	$266 – $585	—
albumin human 25 % Solution 50 mL Vial Outpatient	P9047 HCPCS	$660	$363	$264 – $581	—
albuterol 0.5 % Nebu Soln 1 Each Box Outpatient	0250 RC	$9.65	$5.31	$3.86 – $8.49	—
allopurinol 100 MG Tab 100 Each Box Outpatient	0250 RC	$9.04	$4.98	$3.62 – $7.96	—
amiodarone 360 mg/200 mL Solution 200 mL Plas Cont Outpatient	0250 RC	$353	$194	$141 – $311	—
amoxicillin/clavulanate 500-125 mg Tab 20 Each Bottle Outpatient	0250 RC	$11.23	$6.18	$4.49 – $9.88	—
amoxicillin/clavulanate 875-125 mg Tab 20 Each Bottle Outpatient	0250 RC	$12.06	$6.64	$4.82 – $10.61	—
ampicillin 1 g Recon Soln 1 Each Vial Outpatient	J0290 HCPCS	$76.81	$42.25	$30.72 – $67.59	—
apixaban 5 MG Tab 100 Each Box Outpatient	0250 RC	$33.29	$18.31	$13.32 – $29.30	—
aspirin 300 MG Suppos 12 Each Box Outpatient	0250 RC	$7.08	$3.90	$2.83 – $6.23	—
atropine 1 % Solution 2 mL Bottle Outpatient	0250 RC	$154	$84.72	$61.61 – $136	—
atropine 1 MG/10ML Solution Prefilled Syringe 10 mL Syringe Outpatient	J0461 HCPCS	$92.50	$50.88	$37.00 – $81.40	—
calcium gluconate 1 g/50 mL Solution 50 mL Flex Cont Outpatient	J0613 HCPCS	$168	$92.54	$67.30 – $148	—
carvedilol 3.125 MG Tab 100 Each Box Outpatient	0250 RC	$8.27	$4.55	$3.31 – $7.28	—
cefOXitin 2 g Recon Soln 1 Each Vial Outpatient	J0694 HCPCS	$100	$55.00	$40.00 – $88.00	—
cherry syrup Syrup 5 mL Syringe Outpatient	0250 RC	$4.70	$2.59	$1.88 – $4.14	—
clonazePAM 1 mg Tab 100 Each Box Outpatient	0250 RC	$10.27	$5.65	$4.11 – $9.04	—
colchicine 0.6 MG Tab 100 Each Bottle Outpatient	0250 RC	$25.42	$13.99	$10.17 – $22.37	—
cyclopentolate 1 % Solution 2 mL Bottle Outpatient	0250 RC	$61.37	$33.76	$24.55 – $54.01	—
D5W 0.05 Solution 250 mL Flex Cont Outpatient	0258 RC	$66.75	$36.72	$26.70 – $58.74	—
dextrose 5 % Solution 100 mL Flex Cont Outpatient	0250 RC	$44.70	$24.59	$17.88 – $39.34	—
dextrose 5 % Solution 50 mL Flex Cont Outpatient	0258 RC	$49.25	$27.09	$19.70 – $43.34	—
dextrose 5 % Solution 50 mL Flex Cont Outpatient	0250 RC	$45.05	$24.78	$18.02 – $39.64	—
dextrose 5 % Solution 500 mL Flex Cont Outpatient	0250 RC	$95.88	$52.74	$38.35 – $84.37	—
dextrose 5% and NaCl 0.45% Solution 1,000 mL Flex Cont Outpatient	0258 RC	$120	$66.00	$48.00 – $106	—
dextrose 5% and NaCl 0.45% Solution 500 mL Flex Cont Outpatient	0258 RC	$127	$69.85	$50.80 – $112	—