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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES Inpatient | 003 MS-DRG | — | — | $148,564 – $625,379 | — | |
| HC FLUORO GUIDE LOCALZ NEEDLE/CATH SPINE/PARASPINOUS INJ (ADD ON CODE) Inpatient | 77003 CPT | $708 | $389 | $425 – $623 | — | |
| HC FOUNDATIONONE CDX, TARG GEN SEQ ANLY, DNA 324 GENES Inpatient | 0037U CPT | $5,334 | $2,933 | $3,200 – $4,693 | — | |
| HC HUMAN GROWTH HORMONE (SOMATOTROPIN) ASSAY Inpatient | 83003 CPT | $142 | $78.10 | $85.20 – $125 | — | |
| HC URINALYSIS DIPSTICK Inpatient | 81003 CPT | $55.00 | $30.25 | $33.00 – $48.40 | — | |
| HC URINALYSIS SPECIFIC GRAVITY Inpatient | 81003 CPT | $25.00 | $13.75 | $15.00 – $22.00 | — | |
| HC VENT MGMT INPT SUBSEQ DAY Inpatient | 94003 CPT | $809 | $445 | $485 – $712 | — |