Froedtert Holy Family Memorial Hospital — Mammogram 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.
3 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC BILAT, DX MAMMOGRAPHY, INCLUDING CAD Inpatient | 77066 CPT | $583 | $321 | $350 – $513 | — | |
| HC BILAT, SCREEN MAMMOGRAPHY, INCLUDING CAD Inpatient | 77067 CPT | $480 | $264 | $288 – $422 | $113 | |
| HC UNILAT, DX MAMMOGRAPHY, INCLUDING CAD Inpatient | 77065 CPT | $335 | $184 | $201 – $295 | $97.47 |