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.

10 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient	770 MS-DRG	—	—	$7,018 – $29,544	—
colistimethate 150 MG Recon Soln 1 Each Vial Inpatient	J0770 HCPCS	$197	$108	$98.50 – $173	—
HC BILAT, DX MAMMOGRAPHY, INCLUDING CAD Inpatient	77066 CPT	$583	$321	$350 – $513	—
HC BILATERAL, DIGITAL BREAST DX TOMOSYNTHESIS Inpatient	77062 CPT	$170	$93.50	$102 – $150	—
HC DXA, BONE DENSITY STUDY, 1 OR MORE SITES, APPENDICULAR SKELETON Inpatient	77081 CPT	$326	$179	$196 – $287	—
HC FLUORO GUID FOR CVAD PLACE, REPLACE (CATH ONLY OR COMPL), OR REMOVAL Inpatient	77001 CPT	$532	$293	$319 – $468	—
HC FLUORO GUIDE LOCALZ NEEDLE/CATH SPINE/PARASPINOUS INJ (ADD ON CODE) Inpatient	77003 CPT	$708	$389	$425 – $623	—
HC FLUORO GUIDE NEEDLE PLACEMENT (BX, ASPIR, INJ, LOCALZ) (ADD ON CODE) Inpatient	77002 CPT	$518	$285	$311 – $456	—
HC UNILAT, DX MAMMOGRAPHY, INCLUDING CAD Inpatient	77065 CPT	$335	$184	$201 – $295	$97.47
HC UNILATERAL, DIGITAL BREAST DX TOMOSYNTHESIS Inpatient	77061 CPT	$95.00	$52.25	$57.00 – $83.60	—