Froedtert Holy Family Memorial Hospital — X-ray 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 X-RAY EXAM, CHEST, 2 VIEWS Inpatient | 71046 CPT | $244 | $134 | $146 – $215 | $84.71 | |
| HC X-RAY EXAM, CHEST, SINGLE VIEW Inpatient | 71045 CPT | $191 | $105 | $115 – $168 | $84.71 | |
| HC X-RAY EXAM, HAND, MINIMUM 3 VIEWS Inpatient | 73130 CPT | $383 | $211 | $230 – $337 | — | |
| HC X-RAY EXAM, SHOULDER, COMPLETE, MINIMUM 2 VIEWS Inpatient | 73030 CPT | $222 | $122 | $133 – $195 | $85.41 | |
| HC X-RAY EXAM, SPINE, LUMBOSACRAL, MINIMUM 4 VIEWS Inpatient | 72110 CPT | $519 | $285 | $311 – $457 | — |