Froedtert Holy Family Memorial Hospital — CT scan prices
← Hospital overviewVerified from Froedtert Holy Family Memorial Hospital’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.
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.
6 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CT, ABD AND PELVIS, W/O CONTRAST IN ONE/BOTH BODY REGIONS, F/B CONTRAST Inpatient | 74178 CPT | $5,150 | $2,833 | $3,090 – $4,532 | — | |
| HC CT, ABDOMEN AND PELVIS, WITHOUT CONTRAST Inpatient | 74176 CPT | $3,296 | $1,813 | $1,978 – $2,900 | $235 | |
| HC CT, HEAD OR BRAIN, WITH CONTRAST Inpatient | 70460 CPT | $2,060 | $1,133 | $1,236 – $1,813 | — | |
| HC CT, HEAD OR BRAIN, WITHOUT CONTRAST Inpatient | 70450 CPT | $1,854 | $1,020 | $1,112 – $1,632 | $102 | |
| HC CT, THORAX, DX, W/ CONTRAST Inpatient | 71260 CPT | $1,648 | $906 | $989 – $1,450 | — | |
| HC CT, THORAX, DX, W/O CONTRAST Inpatient | 71250 CPT | $1,442 | $793 | $865 – $1,269 | $102 |