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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Inpatient | 561 MS-DRG | — | — | $5,627 – $23,686 | — | |
| HC DRVVT CONFIRMATION, RUSSELL VIPER VENOM TIME (INCLUDES VENOM), DILUTED Inpatient | 85613 CPT | $78.00 | $42.90 | $46.80 – $68.64 | — | |
| HC INSERT TUNNELED CENTRAL VEN ACC DEV W SUBQ PORT Inpatient | 36561 CPT | $5,607 | $3,084 | $3,364 – $4,934 | — | |
| HC LA DRVVT MIX, RUSSELL VIPER VENOM DILUTED (WDL) Inpatient | 85613 CPT | $78.00 | $42.90 | $46.80 – $68.64 | — | |
| HC LA PT, PROTHROMBIN TIME (WDL) Inpatient | 85610 CPT | $30.00 | $16.50 | $18.00 – $26.40 | $6.83 | |
| HC OT SP ONLY, DRY NEEDLING MAINTENANCE, 3 OR MORE MUSCLES Inpatient | 20561 CPT | $50.00 | $27.50 | $30.00 – $44.00 | — | |
| HC PT NEEDLE INSERTION(S) WITHOUT INJECTION(S) 3 OR MORE MUSCLES Inpatient | 20561 CPT | $50.00 | $27.50 | $30.00 – $44.00 | — | |
| HC PT SP ONLY, DRY NEEDLING MAINTENANCE, 3 OR MORE MUSCLES Inpatient | 20561 CPT | $50.00 | $27.50 | $30.00 – $44.00 | — |