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.
11 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CRYPTOSPORIDIUM, INFC AGNT AG DTCT IMMUNFLUORES Inpatient | 87272 CPT | $103 | $56.65 | $61.80 – $90.64 | — | |
| HC GIARDIA, INFC AGNT AG DTCT IMMUNFLUORES Inpatient | 87269 CPT | $66.00 | $36.30 | $39.60 – $58.08 | — | |
| HC INFC AGT ANTG DTCT IMFLRSCNT PNEUMOCYST CARINII Inpatient | 87281 CPT | $344 | $189 | $206 – $303 | — | |
| HC SMEAR COMPLEX STAIN Inpatient | 87209 CPT | $153 | $84.15 | $91.80 – $135 | — | |
| HC SMEAR PRIM SRCE INTERP ACID FAST STAIN Inpatient | 87206 CPT | $31.00 | $17.05 | $18.60 – $27.28 | — | |
| HC SMEAR PRIM SRCE INTERP ACRIDINE ORANGE STAIN Inpatient | 87206 CPT | $31.00 | $17.05 | $18.60 – $27.28 | — | |
| HC SMEAR PRIM SRCE INTERP CALCOFLOUR STAIN Inpatient | 87206 CPT | $31.00 | $17.05 | $18.60 – $27.28 | — | |
| HC SMEAR PRIM SRCE INTERP GM STAIN URIN EOSINOPHIL Inpatient | 87205 CPT | $192 | $106 | $115 – $169 | — | |
| HC SMEAR PRIMARY SOURCE INTERP GRAM STAIN Inpatient | 87205 CPT | $20.00 | $11.00 | $12.00 – $17.60 | — | |
| HC SMEAR WET MOUNT Inpatient | 87210 CPT | $27.00 | $14.85 | $16.20 – $23.76 | — | |
| HC SMEAR, PRIM SOURCE, SPECIAL STAIN INCLUSION BOD/PARASITES Inpatient | 87207 CPT | $81.00 | $44.55 | $48.60 – $71.28 | — |