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) | |
|---|---|---|---|---|---|---|
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC Inpatient | 617 MS-DRG | — | — | $13,091 – $55,107 | — | |
| HC BORRELIA BURGDORFERI CONFIRMATORY TEST ANTIBODY, IGG BY IMMUNOBLOT CSF Inpatient | 86617 CPT | $94.00 | $51.70 | $56.40 – $82.72 | — | |
| HC BORRELIA BURGDORFERI CONFIRMATORY TEST ANTIBODY, IGM BY IMMUNOBLOT CSF Inpatient | 86617 CPT | $94.00 | $51.70 | $56.40 – $82.72 | — | |
| HC CONFIRMATORY B. BURGDORFERI TEST SYS ANTIBODIES, IGG Inpatient | 86617 CPT | $88.00 | $48.40 | $52.80 – $77.44 | — | |
| HC CONFIRMATORY B. BURGDORFERI TEST SYS ANTIBODIES, IGM Inpatient | 86617 CPT | $88.00 | $48.40 | $52.80 – $77.44 | — | |
| HC IGG ANTIBODY, LYME DISEASE, CONFIRM TEST, IMMUNOBLOT Inpatient | 86617 CPT | $88.00 | $48.40 | $52.80 – $77.44 | — | |
| HC IGM ANTIBODY, LYME DISEASE, CONFIRM TEST, IMMUNOBLOT Inpatient | 86617 CPT | $88.00 | $48.40 | $52.80 – $77.44 | — | |
| HC JAK2 V617F GENE MUTATION ANALYSIS Inpatient | 81270 CPT | $779 | $428 | $467 – $686 | — |