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) | |
|---|---|---|---|---|---|---|
| brentuximab 5 mg/mL Recon Soln 1 Each Vial Inpatient | J9042 HCPCS | $50,035 | $27,519 | $25,018 – $44,031 | — | |
| HC ACETYLCHOLINE RECEPTOR, BLOCKING ANTIBODY Inpatient | 86042 CPT | $87.00 | $47.85 | $52.20 – $76.56 | — | |
| HC CSF (2), ALBUMIN, OTHER SOURCE, QUANT, EA SPECIMEN Inpatient | 82042 CPT | $52.00 | $28.60 | $31.20 – $45.76 | — | |
| HC DEBRIDEMENT, SUBCUTANEOUS TISSUE, FIRST 20 SQ CM OR LESS Inpatient | 11042 CPT | $639 | $351 | $383 – $562 | — | |
| HC REPR, INTERM, WND NECK, HANDS, FEET/GENIT, 2.6 -7.5 CM Inpatient | 12042 CPT | $1,756 | $966 | $1,054 – $1,545 | — |