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.

12 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC B. PERTUSSIS NAAT, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID DNA AMP Inpatient	87798 CPT	$112	$61.33	$66.90 – $98.12	—
HC INFC AGT DTCT DNA AMP PRBE TROPHERYMA WHIPP Inpatient	87798 CPT	$749	$412	$449 – $659	—
HC INFCT AGNT DETCT DNA AMPLF PROBE EHRLICHIA Inpatient	87798 CPT	$348	$191	$209 – $306	—
HC INFCT AGNT DETCT DNA AMPLF PROBE HTLV-I & II Inpatient	87798 CPT	$473	$260	$284 – $416	—
HC INFCT AGNT DETCT DNA AMPLF PROBE MUMPS Inpatient	87798 CPT	$1,125	$619	$675 – $990	—
HC INFCT AGNT DETCT DNA BY NUCLEIC ACID, NOS, AMPLIF TEST GENOGROUP I Inpatient	87798 CPT	$163	$89.65	$97.80 – $143	—
HC INFCT AGNT DETCT DNA BY NUCLEIC ACID, NOS, AMPLIF TEST GENOGROUP II Inpatient	87798 CPT	$163	$89.65	$97.80 – $143	—
HC INFCT AGNT DETECT BY NA AMP PROBE CRE Inpatient	87798 CPT	$229	$126	$137 – $202	—
HC INFCT AGNT DETECT BY NA AMP PROBE EPSTEIN-BARR VIR QUAL CSF Inpatient	87798 CPT	$276	$152	$166 – $243	—
HC INFCT AGNT DETECT BY NA AMP PROBE TUBERCULOSIS RIF Inpatient	87798 CPT	$267	$147	$160 – $235	—
HC STREPTOCOCCUS GROUP C/G, INFC AGNT DTCT BY NA, NOS, AMP PRB, EA ORG Inpatient	87798 CPT	$80.50	$44.28	$48.30 – $70.84	—
HC UREAPLASMA UREALYTICUM PCR, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID Inpatient	87798 CPT	$800	$440	$480 – $704	—