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.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| droPERidol 2.5 MG/ML Solution 2 mL Vial Inpatient | J1790 HCPCS | $94.41 | $51.93 | $47.21 – $83.08 | — | |
| HC HEPATITIS E (HEV) EACH, ANTIBODY, VIRUS, NES Inpatient | 86790 CPT | $157 | $86.35 | $94.20 – $138 | — | |
| HC HIV-1 II, INFC AGNT GENOTYP ANLYS BY NA, REVR TRNSCRIPT&PROTEASE Inpatient | 87901 CPT | $747 | $411 | $448 – $657 | — | |
| HC HUMAN HERPES 6 AB IGM, AB, VIRUS, NES Inpatient | 86790 CPT | $520 | $286 | $312 – $458 | — | |
| HC POWASSAN, ANTIBODY, VIRUS, NOS, EACH Inpatient | 86790 CPT | $411 | $226 | $247 – $362 | — | |
| HC RABIES, ANTIBODY, VIRUS, NES Inpatient | 86790 CPT | $305 | $168 | $183 – $268 | — |