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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC Inpatient | 928 MS-DRG | — | — | $50,205 – $211,336 | — | |
| HC LEVEL 2 EMERGENCY DEPARTMENT VISIT Inpatient | 99282 CPT | $525 | $289 | $315 – $462 | — | |
| HC LEVEL 4 EMERGENCY DEPARTMENT VISIT Inpatient | 99284 CPT | $1,800 | $990 | $1,080 – $1,584 | $306 | |
| HC PLC BREAST LOCALZ DEV PERC MAMMO GUIDE 1ST LESION Inpatient | 19281 CPT | $3,459 | $1,902 | $2,075 – $3,044 | — | |
| HC PLC BREAST LOCALZ DEV PERC MAMMO GUIDE EA AD LESION Inpatient | 19282 CPT | $1,583 | $871 | $950 – $1,393 | — | |
| HC SANE EXAM - INTERMEDIATE Inpatient | 99284 CPT | $1,093 | $601 | $656 – $962 | $306 | |
| HC TTE W/ CONTR OR W/O CONTR FB CONTR, 2D, REST-CARDVASC STRESS Inpatient | C8928 HCPCS | $1,914 | $1,053 | $1,148 – $1,684 | — |