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.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| fluconazole in NS 200-0.9 MG/100ML-% Solution 100 mL Flex Cont Inpatient | J1450 HCPCS | $61.50 | $33.83 | $30.75 – $54.12 | — | |
| fomepizole 1 gm/mL Solution 1.5 mL Vial Inpatient | J1451 HCPCS | $5,438 | $2,991 | $2,719 – $4,785 | — | |
| HC MAYOCOMPLETE LUNG CANCER PANEL, DNA ANLYS, MICROSATELLITE INSTABILITY Inpatient | 81457 CPT | $5,224 | $2,873 | $3,134 – $4,597 | — | |
| HC MAYOCOMPLETE SOL TUMOR PNL, ORGAN NEOPLAS, GEN SEQ; DNA ANLYS Inpatient | 81459 CPT | $7,301 | $4,016 | $4,381 – $6,425 | — |