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.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 2, AMITRIPTYLINE Inpatient | 80335 CPT | $244 | $134 | $146 – $215 | — | |
| HC ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 2, IMIPRAMINE Inpatient | 80335 CPT | $138 | $75.90 | $82.80 – $121 | — | |
| HC ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 2, NORTRIPTYLINE Inpatient | 80335 CPT | $138 | $75.90 | $82.80 – $121 | — | |
| HC CLOMIPRAMINE, ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS, 1 OR 2 Inpatient | 80335 CPT | $135 | $74.25 | $81.00 – $119 | — | |
| HC IMMNFIXTN ELCTRPH BETA-2 TRANSFERIN BOD FLD Inpatient | 86335 CPT | $207 | $114 | $124 – $182 | — | |
| HC PORCINE, FACTOR VIII INHIBITOR TEST Inpatient | 85335 CPT | $355 | $195 | $213 – $312 | — |