Froedtert Holy Family Memorial Hospital — Physical therapy 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 OT, MANUAL THERAPY, EACH 15 MIN Inpatient | 97140 CPT | $156 | $85.80 | $93.60 – $137 | $32.62 | |
| HC OT, THERAPEUTIC EXERCISES, EACH 15 MIN Inpatient | 97110 CPT | $190 | $105 | $114 – $167 | $32.62 | |
| HC PHYSICAL THERAPY EVALUATION, LOW COMPLEXITY Inpatient | 97161 CPT | $313 | $172 | $188 – $275 | $97.03 | |
| HC PHYSICAL THERAPY EVALUATION, MODERATE COMPLEXITY Inpatient | 97162 CPT | $375 | $206 | $225 – $330 | $97.03 | |
| HC PT, MANUAL THERAPY, EACH 15 MIN Inpatient | 97140 CPT | $156 | $85.80 | $93.60 – $137 | $32.62 | |
| HC PT, NEUROMUSCULAR RE-EDUCATION, EACH 15 MIN Inpatient | 97112 CPT | $147 | $80.85 | $88.20 – $129 | — | |
| HC PT, THERAPEUTIC EXERCISES, EACH 15 MIN Inpatient | 97110 CPT | $190 | $105 | $114 – $167 | $32.62 |