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) | |
|---|---|---|---|---|---|---|
| AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Inpatient | 560 MS-DRG | — | — | $7,882 – $33,179 | — | |
| HC OT SP ONLY, DRY NEEDLING MAINTENANCE, 1 OR 2 MUSCLES Inpatient | 20560 CPT | $50.00 | $27.50 | $30.00 – $44.00 | — | |
| HC PT SP ONLY, DRY NEEDLING MAINTENANCE, 1 OR 2 MUSCLES Inpatient | 20560 CPT | $50.00 | $27.50 | $30.00 – $44.00 | — | |
| HC URIC ACID URINE ASSAY Inpatient | 84560 CPT | $77.00 | $42.35 | $46.20 – $67.76 | — |