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.

26 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC AMPHIPHYSIN CSF, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$286	$157	$172 – $252	—
HC ANTIGLOMERULAR BASEMENT MEMBRANE AB, FLUORESCENT NONNFCT AGT ANTB SCREEN Inpatient	86255 CPT	$81.00	$44.55	$48.60 – $71.28	—
HC ANTINEUTROPHIL CYTOPLASMIC AB, FLUORESCENT NONNFCT AGT AB, SCREEN, EA AB Inpatient	86255 CPT	$81.00	$44.55	$48.60 – $71.28	—
HC AUTOIMMUNE MYOPATHY FA, FLURO NONINFC AGNT ANTIBODY SCRN, EA ANTIBODY Inpatient	86255 CPT	$171	$94.05	$103 – $150	—
HC AXONAL, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$110	$60.50	$66.00 – $96.80	—
HC BILAT, SELECTIVE CATH PLC, RENAL ART FOR RENAL ANGIO, 1ST ORDER Inpatient	36252 CPT	$7,328	$4,030	$4,397 – $6,449	—
HC CIDP EVAL, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$512	$282	$307 – $451	—
HC ENCEPHALOPATHY, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$118	$64.90	$70.80 – $104	—
HC LACTATE DEHYDROGENASE (LD) ISOENZYME ASSAY Inpatient	83625 CPT	$107	$58.85	$64.20 – $94.16	—
HC LRP4 AUTOANTIBODY, FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY Inpatient	86255 CPT	$2,331	$1,282	$1,399 – $2,051	—
HC MDS1, FLUORESCENT NONINFECT AGNT ANTIBODY SCREEN EA AB Inpatient	86255 CPT	$213	$117	$128 – $187	—
HC MOG IGG1 FSCS, FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN, EA AB Inpatient	86255 CPT	$531	$292	$319 – $467	—
HC MOTOR AND SENSORY NEUROPATHY, FLUORESCENT ANTIBODY SCREEN Inpatient	86255 CPT	$165	$90.75	$99.00 – $145	—
HC N-METHYL-D-ASPARTATE RECEP, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$445	$245	$267 – $392	—
HC NEUROMYELITIS OPTICA IGG, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$861	$474	$517 – $758	—
HC NEURONAL NUCLEAR CSF, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$286	$157	$172 – $252	—
HC NEURONAL NUCLEAR TYPE 3 CSF, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$286	$157	$172 – $252	—
HC P-CELL CYTOPLASMIC CSF, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$286	$157	$172 – $252	—
HC P-CELL CYTOPLASMIC TR CSF, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$286	$157	$172 – $252	—
HC PARANEOPLAS AUTAB, AGNA TYPE 1, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$220	$121	$132 – $194	—
HC PARANEOPLAS AUTAB, ANNA TYPE 1&2, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$220	$121	$132 – $194	—
HC PARANEOPLAS AUTAB, ANNA TYPE 3, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$220	$121	$132 – $194	—
HC PARANEOPLAS AUTAB, PCA TYPE 1, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$220	$121	$132 – $194	—
HC PARANEOPLAS AUTAB, PCA TYPE TR, FLUORES NONINFC AGNT AB, SCREEN, EA AB Inpatient	86255 CPT	$220	$121	$132 – $194	—
HC SMOOTH MUSCLE AB TITER, FLUORES NONINFC AGNT AB, TITER, EA AB Inpatient	86256 CPT	$123	$67.65	$73.80 – $108	—
HC STIFF PERSON ANTIBODY SCREEN, FLUORESCENT NONNFCT AGT ANTB SCREEN EA ATB Inpatient	86255 CPT	$317	$174	$190 – $279	—