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) | |
|---|---|---|---|---|---|---|
| bumetanide 0.25 MG/ML Solution 4 mL Vial Inpatient | J1939 HCPCS | $43.21 | $23.77 | $21.61 – $38.02 | — | |
| HC BILAT COMPL, DUPLEX SCAN LOWER EXTREM VEINS INCL RESPONSE TO COMPRESSION Inpatient | 93970 CPT | $1,491 | $820 | $895 – $1,312 | — | |
| HC BILAT COMPL, NONINVASIVE LOW EXTREM ART, AT REST FOLLOW TREADMILL STRESS Inpatient | 93924 CPT | $965 | $531 | $579 – $849 | $152 | |
| HC DUPLEX SCAN ART INFLOW VEN OUTFLOW PENILE VESSELS, FOLLOW UP/LTD Inpatient | 93981 CPT | $289 | $159 | $173 – $254 | — | |
| HC LTD, DUPLEX SCAN ART INFLOW VEN OUTFLOW ABD, PELV, SCROTAL CONTENTS Inpatient | 93976 CPT | $876 | $482 | $526 – $771 | — | |
| HC UNILAT/LTD, DUPLEX SCAN UPPER EXTREM ART OR ARTERIAL BYPASS GRAFTS Inpatient | 93931 CPT | $689 | $379 | $413 – $606 | — |