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.

13 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC BETA-2-ADRENERGIC MUTATIONS, MOL PATH PROC, LEVEL 2 Inpatient	81401 CPT	$543	$299	$326 – $478	—
HC C-REA PROTEIN Inpatient	86140 CPT	$39.00	$21.45	$23.40 – $34.32	$5.28
HC CTRC SEQUENCING, MOL PATH PROC, LEVEL 6 Inpatient	81405 CPT	$792	$436	$475 – $697	—
HC EXC, BEN LES INCL MARG, EXCPT SKN TG, TRNK ARMS LGS, DIA 0.6-1.0 CM Inpatient	11401 CPT	$1,246	$685	$748 – $1,096	—
HC EXC, BEN LES INCL MARG, EXCPT SKN TG, TRNK ARMS LGS, DIA 2.1-3.0 CM Inpatient	11403 CPT	$1,559	$857	$935 – $1,372	—
HC EXC, BEN LES INCL MARG, EXCPT SKN TG, TRNK ARMS LGS, DIA 3.1-4.0 CM Inpatient	11404 CPT	$3,593	$1,976	$2,156 – $3,162	—
HC FOCUSED ADPKD GENE, MOLECULAR PATHOLOGY LEVEL 7 Inpatient	81406 CPT	$760	$418	$456 – $669	—
HC NEUROFIBROMATOSIS, MOL PATH PROC, LEVEL 9 Inpatient	81408 CPT	$2,860	$1,573	$1,716 – $2,517	—
HC OT, MANUAL THERAPY, EACH 15 MIN Inpatient	97140 CPT	$156	$85.80	$93.60 – $137	$32.62
HC PREGNENOLONE ASSAY Inpatient	84140 CPT	$175	$96.25	$105 – $154	—
HC PRSS SPINK SEQUENCING, MOL PATH PROC, LEVEL 5 Inpatient	81404 CPT	$2,009	$1,105	$1,205 – $1,768	—
HC SUPERSATURATION PANEL -AMMONIA Inpatient	82140 CPT	$35.50	$19.53	$21.30 – $31.24	—
HC X-RAY EXAM, FACIAL BONES, LESS THAN 3 VIEWS Inpatient	70140 CPT	$276	$152	$166 – $243	—