Froedtert Holy Family Memorial Hospital — ER visit 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.
7 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC LEVEL 1 EMERGENCY DEPARTMENT VISIT Inpatient | 99281 CPT | $210 | $116 | $126 – $185 | — | |
| HC LEVEL 2 EMERGENCY DEPARTMENT VISIT Inpatient | 99282 CPT | $525 | $289 | $315 – $462 | — | |
| HC LEVEL 3 EMERGENCY DEPARTMENT VISIT Inpatient | 99283 CPT | $1,100 | $605 | $660 – $968 | $269 | |
| HC LEVEL 4 EMERGENCY DEPARTMENT VISIT Inpatient | 99284 CPT | $1,800 | $990 | $1,080 – $1,584 | $306 | |
| HC SANE EXAM - BRIEF CONSULT Inpatient | 99281 CPT | $375 | $206 | $225 – $330 | — | |
| HC SANE EXAM - COMPREHENSIVE Inpatient | 99285 CPT | $1,120 | $616 | $672 – $986 | $594 | |
| HC SANE EXAM - INTERMEDIATE Inpatient | 99284 CPT | $1,093 | $601 | $656 – $962 | $306 |