Froedtert Holy Family Memorial Hospital — price list
← 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.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
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 (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ADMINISTRATION HEPATITIS B VACCINE Inpatient | G0010 HCPCS | $78.00 | $42.90 | $46.80 – $68.64 | — | |
| HC DEBRIDEMENT EXTENSIVE ECZEMA/INFECT SKIN EA ADL 10% BODY SURF (AD) Inpatient | 11001 CPT | $405 | $223 | $243 – $356 | — | |
| HC FLUORO GUID FOR CVAD PLACE, REPLACE (CATH ONLY OR COMPL), OR REMOVAL Inpatient | 77001 CPT | $532 | $293 | $319 – $468 | — | |
| HC GONADOTROPIN (FSH) Inpatient | 83001 CPT | $106 | $58.30 | $63.60 – $93.28 | — | |
| HC SPECIMEN HANDLING Inpatient | 99001 CPT | $83.00 | $45.65 | $49.80 – $73.04 | — |