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) | |
|---|---|---|---|---|---|---|
| ceFAZolin 500 MG Recon Soln 1 Each Vial Inpatient | J0690 HCPCS | $45.65 | $25.11 | $22.83 – $40.17 | — | |
| HC BLOOD TYPING SEROLOGIC RH PHENOTYPE BIG C ANTIGEN COMPLETE Inpatient | 86906 CPT | $119 | $65.45 | $71.40 – $105 | — | |
| HC BLOOD TYPING SEROLOGIC RH PHENOTYPE LITTLE C ANTIGEN COMPLETE Inpatient | 86906 CPT | $120 | $66.00 | $72.00 – $106 | — | |
| HC IN-HOUSE, BLOOD TYP, SEROLOGIC, AG TEST DONOR BLOOD, EA AG Inpatient | 86902 CPT | $369 | $203 | $221 – $325 | — | |
| HC INTRO NEEDLE/CATH, DIALYSIS CIRCUIT Inpatient | 36901 CPT | $5,205 | $2,863 | $3,123 – $4,580 | — | |
| HC INTRO NEEDLE/CATH, DIALYSIS CIRCUIT, W/ PERIPHERAL PTA Inpatient | 36902 CPT | $19,318 | $10,625 | $11,591 – $17,000 | — | |
| HC RH (D) BLOOD TYPING SEROLOGIC BCW Inpatient | 86901 CPT | $76.00 | $41.80 | $45.60 – $66.88 | — | |
| HC RH (D) BLOOD TYPING SEROLOGIC CASE WORKUP Inpatient | 86901 CPT | $44.00 | $24.20 | $26.40 – $38.72 | — |