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) | |
|---|---|---|---|---|---|---|
| gemcitabine 1 GM/26.3ML Solution 26.3 mL Vial Inpatient | J9201 HCPCS | $249 | $137 | $124 – $219 | — | |
| gemcitabine 38 mg/mL Solution 5.26 mL Vial Inpatient | J9201 HCPCS | $51.85 | $28.52 | $25.93 – $45.63 | — | |
| Gemcitabine HCl 2 GM/52.6ML Solution 52.6 mL Vial Inpatient | J9201 HCPCS | $459 | $252 | $229 – $404 | — | |
| HC ACYLCARNITINES PROFILE, QUANTITATIVE, EA SPECIMEN Inpatient | 82017 CPT | $258 | $142 | $155 – $227 | — | |
| HC BETA-HYDROXYBUTYRATE, KETONE BODY(S), QUANT Inpatient | 82010 CPT | $74.00 | $40.70 | $44.40 – $65.12 | — | |
| HC SIM REPR SUPRF WND FACE, EARS, EYLDS, NOSE, LIPS/MUC MEMB, 5.1-7.5 CM Inpatient | 12014 CPT | $919 | $505 | $551 – $809 | — | |
| HC SIMP REPR SUPFCL WNDS FACE EARS EYLDS NOSE LIPS MUC MEMB, OVER 30.0 CM Inpatient | 12018 CPT | $1,845 | $1,015 | $1,107 – $1,624 | — |