Froedtert Hospital — price list

← Hospital overviewVerified from Froedtert 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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
0.9% NaCl (excel) 0.9 % Solution 500 mL Flex Cont Outpatient	0250 RC	$77.38	$42.56	$23.21 – $66.93	—
0.9% NaCl add-vantage Solution 100 mL Flex Cont Outpatient	0250 RC	$61.50	$33.83	$18.45 – $53.20	—
2.0 VOLT(TM) DB AO QC 115MM/30MM CALIB Outpatient	A4649 HCPCS	$629	$346	$189 – $544	—
2.0 VOLT(TM) DB AO QC 145MM/60MM CALIB Outpatient	A4649 HCPCS	$629	$346	$189 – $544	—
500 MM HEX ROD SPINAL ELEMENTS Outpatient	C1713 HCPCS	$900	$495	$270 – $792	$1,195
abacavir 300 MG Tab 60 Each Bottle Outpatient	0250 RC	$14.50	$7.98	$4.35 – $12.54	—
acebutolol 200 MG Cap 1 Each Blister Outpatient	0250 RC	$11.44	$6.30	$3.43 – $9.90	—
acetaminophen 325 MG Suppos 6 Each Box Outpatient	0250 RC	$6.56	$3.61	$1.97 – $5.67	—
acetaminophen 40 mg/1.25 mL Solution 1.25 mL Oral Syringe Outpatient	0250 RC	$8.03	$4.42	$2.41 – $6.95	—
acetaminophen 650 MG/20.3ML Solution 20.3 mL Cup Outpatient	0250 RC	$12.42	$6.84	$3.73 – $10.74	—
acetaminophen 80 MG Suppos 6 Each Box Outpatient	0250 RC	$6.27	$3.45	$1.88 – $5.42	—
acetylcysteine 200 MG/ML Solution 30 mL Vial Outpatient	J0132 HCPCS	$615	$338	$0.47 – $532	—
acyclovir 5 % Ointment 15 g Tube Outpatient	0250 RC	$192	$106	$57.60 – $166	—
adenosine 10 mcg/mL 6 MG/2ML Solution 2 mL Syringe Outpatient	J0153 HCPCS	$124	$68.20	$0.28 – $107	—
adenosine diagnostic 3 MG/ML Solution 20 mL Vial Outpatient	J0153 HCPCS	$405	$223	$0.28 – $350	—
adenosine diagnostic 3 MG/ML Solution 40 mL Vial Outpatient	J0153 HCPCS	$2,367	$1,302	$0.28 – $2,047	—
aflibercept 8 MG/0.07ML Solution 0.07 mL Vial Outpatient	J0177 HCPCS	$11,256	$6,191	$283 – $9,736	—
albuterol 0.5 % Nebu Soln 1 Each Box Outpatient	0250 RC	$9.65	$5.31	$2.90 – $8.35	—
albuterol HFA 108 (90 Base) MCG/ACT Aero Soln 6.7 g Inhaler Outpatient	0250 RC	$107	$59.12	$32.25 – $92.98	—
ALPRAZolam 0.5 MG Tab 100 Each Bottle Outpatient	0250 RC	$10.12	$5.57	$3.04 – $8.75	—
amitriptyline 100 MG Tab 100 Each Bottle Outpatient	0250 RC	$10.43	$5.74	$3.13 – $9.02	—
amitriptyline 50 MG Tab 100 Each Bottle Outpatient	0250 RC	$8.72	$4.80	$2.62 – $7.54	—
ammonia N-13 Kit 40 millicurie Outpatient	A9526 HCPCS	$1,287	$708	$386 – $1,113	—
amoxicillin/clavulanate 250-62.5 mg/5 mL Recon Susp 150 mL Bottle Outpatient	0250 RC	$540	$297	$162 – $467	—
amphetamine/dextroamphetamine 30 MG CAPSULE SR 24 HR 100 Each Bottle Outpatient	0250 RC	$11.31	$6.23	$3.39 – $9.78	—
amphetamine/dextroamphetamine 5 MG Tab 100 Each Bottle Outpatient	0250 RC	$11.14	$6.13	$3.34 – $9.64	—
amphotericin 5 mcg/0.1 mL Solution 1 Each Syringe Outpatient	0250 RC	$30.04	$16.53	$9.01 – $25.98	—
amphotericin Nebu Soln 1 Each Vial Outpatient	0250 RC	$303	$167	$90.90 – $262	—
ampicillin 1 g Recon Soln 1 Each Vial Outpatient	J0290 HCPCS	$73.30	$40.32	$0.61 – $63.40	—
ampicillin 2 g Recon Soln 1 Each Vial Outpatient	J0290 HCPCS	$107	$58.91	$0.61 – $92.64	—