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) | |
|---|---|---|---|---|---|---|
| CANN HYDRATOME RX44 20MM 260CM Inpatient | A4649 HCPCS | $1,808 | $995 | $1,085 – $1,591 | — | |
| GUIDEWIRE JAGTOME RX 39-20-260 Inpatient | C1769 HCPCS | $1,322 | $727 | $793 – $1,163 | — | |
| GUIDEWIRE WHOLEY J .035INX260 Inpatient | C1769 HCPCS | $473 | $260 | $284 – $417 | — | |
| HC AMPLATZ SUPER STIFF 0.035 X 260 Inpatient | C1769 HCPCS | $755 | $415 | $453 – $664 | — | |
| HC B-12 BINDING CAPACITY Inpatient | 82608 CPT | $108 | $59.40 | $64.80 – $95.04 | — | |
| HC CT, THORAX, DX, W/ CONTRAST Inpatient | 71260 CPT | $1,648 | $906 | $989 – $1,450 | — | |
| HC CYANIDE ASSAY Inpatient | 82600 CPT | $233 | $128 | $140 – $205 | — |