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) | |
|---|---|---|---|---|---|---|
| Copper Cu 64 Dotatate 1 mCi/ML Solution 1 Each Vial Inpatient | A9592 HCPCS | $13,480 | $7,414 | $6,740 – $11,862 | — | |
| HC COLLECT BLOOD SPECIMEN USE ESTABLISHED CENTRAL/PERIPH CATH, VENOUS, NOS Inpatient | 36592 CPT | $281 | $155 | $169 – $247 | — | |
| HC SYPHILIS TEST NON-TREPONEMAL QUAL RPR Inpatient | 86592 CPT | $36.00 | $19.80 | $21.60 – $31.68 | — | |
| HC VDRL CSF, SYPHILIS TEST, NON-TREPONEMAL AB, QUAL Inpatient | 86592 CPT | $36.00 | $19.80 | $21.60 – $31.68 | — |