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) | |
|---|---|---|---|---|---|---|
| HC HEPATITIS C (HCV) ANTIBODY Inpatient | 86803 CPT | $128 | $70.40 | $76.80 – $113 | $14.56 | |
| HC HLA ANTIBODY ASSAY CLASS I & II ANTIGENS QUAL Inpatient | 86828 CPT | $240 | $132 | $144 – $211 | — | |
| HC HLA ANTIBODY ASSAY CLASS I HI DEF QUAL PANEL Inpatient | 86832 CPT | $1,356 | $746 | $814 – $1,193 | — | |
| HC HLA ANTIBODY ASSAY CLASS II HI DEF QUAL PANEL Inpatient | 86833 CPT | $1,361 | $749 | $817 – $1,198 | — | |
| HC RBC ANTIBODY IDENTIFICATION COMPLEX Inpatient | 86870 CPT | $378 | $208 | $227 – $333 | — | |
| HC THYROGLOBULIN ANTIBODY Inpatient | 86800 CPT | $90.00 | $49.50 | $54.00 – $79.20 | — |