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) | |
|---|---|---|---|---|---|---|
| FEVER AND INFLAMMATORY CONDITIONS Inpatient | 864 MS-DRG | — | — | $6,213 – $26,155 | — | |
| HC CRYOTICICCAL PARTICLE AGGLUTINATION SCREEN Inpatient | 86403 CPT | $131 | $72.05 | $78.60 – $115 | — | |
| HC QUANTIFERON TB GOLD PLUS, TB TEST CELL MEDIATED ANTIGN RESPNSE MEASURE Inpatient | 86480 CPT | $354 | $195 | $212 – $312 | — | |
| HC RHEUMATOID FACTOR QUANT Inpatient | 86431 CPT | $32.00 | $17.60 | $19.20 – $28.16 | — | |
| HC TB TEST ENUMERATN GAMMA INTERFERON-PROD T-CELLS Inpatient | 86481 CPT | $459 | $252 | $275 – $404 | — | |
| HC URINE, MUCOPOLYSACCHARIDES, ACID, QUANT Inpatient | 83864 CPT | $763 | $420 | $458 – $671 | — |