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) | |
|---|---|---|---|---|---|---|
| fentaNYL 0.05 MG/ML Solution 2 mL Vial Inpatient | J3010 HCPCS | $66.53 | $36.60 | $33.27 – $58.55 | — | |
| HC ADMINISTRATION HEPATITIS B VACCINE Inpatient | G0010 HCPCS | $78.00 | $42.90 | $46.80 – $68.64 | — | |
| HC BETA-HYDROXYBUTYRATE, KETONE BODY(S), QUANT Inpatient | 82010 CPT | $74.00 | $40.70 | $44.40 – $65.12 | — | |
| HC HAPTOGLOBIN QUANT ASSAY Inpatient | 83010 CPT | $71.00 | $39.05 | $42.60 – $62.48 | — | |
| HC PSA SCREENING Inpatient | G0103 HCPCS | $99.00 | $54.45 | $59.40 – $87.12 | — | |
| HC SPIROMETRY, INCL GRPH RECORD, TOTAL-TIMED VITAL CAPACITY,EXPIR FLOW RATE Inpatient | 94010 CPT | $525 | $289 | $315 – $462 | — |