Froedtert Holy Family Memorial Hospital — MRI 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.
5 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC MRI, ABDOMEN, WITHOUT CONTRAST Inpatient | 74181 CPT | $2,750 | $1,513 | $1,650 – $2,420 | — | |
| HC MRI, ANY JOINT OF LOWER EXTREMITY, WITHOUT CONTRAST Inpatient | 73721 CPT | $4,400 | $2,420 | $2,640 – $3,872 | $228 | |
| HC MRI, BRAIN (INCL BRAIN STEM), W/O CONTRAST, F/B CONTRAST AND FURTHER SEQ Inpatient | 70553 CPT | $4,500 | $2,475 | $2,700 – $3,960 | — | |
| HC MRI, BRAIN (INCLUDING BRAIN STEM), WITH CONTRAST Inpatient | 70552 CPT | $3,500 | $1,925 | $2,100 – $3,080 | — | |
| HC MRI, BRAIN (INCLUDING BRAIN STEM), WITHOUT CONTRAST Inpatient | 70551 CPT | $2,500 | $1,375 | $1,500 – $2,200 | — |