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) | |
|---|---|---|---|---|---|---|
| CISplatin 100 MG/100ML Solution 100 mL Vial Inpatient | J9060 HCPCS | $224 | $123 | $112 – $197 | — | |
| haemophilus b polysac conjugate vaccine 7.5 MCG/0.5 ML Suspension 0.5 mL Vial Inpatient | 90647 CPT | $118 | $64.95 | $70.85 – $104 | — | |
| HAND PROCEDURES FOR INJURIES Inpatient | 906 MS-DRG | — | — | $13,749 – $57,876 | — | |
| HC APPL OF LONG ARM CAST Inpatient | 29065 CPT | $405 | $223 | $243 – $356 | — | |
| HC BLOOD TYPING SEROLOGIC RH PHENOTYPE BIG C ANTIGEN COMPLETE Inpatient | 86906 CPT | $119 | $65.45 | $71.40 – $105 | — | |
| HC BLOOD TYPING SEROLOGIC RH PHENOTYPE LITTLE C ANTIGEN COMPLETE Inpatient | 86906 CPT | $120 | $66.00 | $72.00 – $106 | — |