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.
36 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| BIT DRILL PERIPH SCREW 3.2MM Inpatient | 0272 RC | $323 | $178 | $194 – $285 | — | |
| BLADE SAG 90X13X1.27MM Inpatient | 0272 RC | $285 | $157 | $171 – $251 | — | |
| CATH MUSTANG 7X200 135CM Inpatient | 0272 RC | $575 | $316 | $345 – $506 | — | |
| CATH PA HEPARIN FREE 7FR Inpatient | 0272 RC | $407 | $224 | $244 – $359 | — | |
| DEVICE DILATOR 54FR 18MMX70CM Inpatient | 0272 RC | $1,179 | $648 | $707 – $1,038 | — | |
| DILAT CRE 10-12MM 8CM Inpatient | 0272 RC | $741 | $407 | $444 – $652 | — | |
| HC AIRWAY LMA GI W/ CUFF PILOT Inpatient | 0272 RC | $575 | $316 | $345 – $506 | — | |
| HC ARTERIAL CLOSURE DEVICE Inpatient | 0272 RC | $1,343 | $739 | $806 – $1,182 | — | |
| HC BIOPSY FORCEPS Inpatient | 0271 RC | $1,370 | $754 | $822 – $1,206 | — | |
| HC BIOPSY MAMMOTOME PROBE Inpatient | 0272 RC | $1,033 | $568 | $620 – $909 | — | |
| HC BIOPSY NEEDLE Inpatient | 0272 RC | $276 | $152 | $166 – $243 | — | |
| HC BREATH CALL SYSTEM Inpatient | 0272 RC | $1,064 | $585 | $638 – $936 | — | |
| HC CERIBELL HEADBAND Inpatient | 0272 RC | $2,969 | $1,633 | $1,781 – $2,613 | — | |
| HC COMPL CBC AUTOMATED Inpatient | 85027 CPT | $37.00 | $20.35 | $22.20 – $32.56 | $6.60 | |
| HC DRSG GRANUFOAM VAC, MED BLK Inpatient | 0272 RC | $268 | $147 | $161 – $236 | — | |
| HC DRSG VAC PEEL AND PLACE LG Inpatient | 0272 RC | $643 | $353 | $386 – $565 | — | |
| HC DRSG VAC PEEL AND PLACE SM Inpatient | 0272 RC | $575 | $316 | $345 – $506 | — | |
| HC DRSG VERAFLO CLEAN CHOICE, MED Inpatient | 0272 RC | $602 | $331 | $361 – $530 | — | |
| HC DRSG VERAFLO VAC, LG Inpatient | 0272 RC | $942 | $518 | $565 – $829 | — | |
| HC DRSG VERAFLO VAC, MED Inpatient | 0272 RC | $575 | $316 | $345 – $506 | — | |
| HC ELECTRODES Inpatient | 0272 RC | $990 | $545 | $594 – $871 | — | |
| HC FLEXISEAL (SPEC ORD) Inpatient | 0272 RC | $845 | $464 | $507 – $743 | — | |
| HC GUIDE SHEATH Inpatient | 0272 RC | $608 | $334 | $365 – $535 | — | |
| HC HOVER MAT - MAT AIR PT TRANSFER 50" DISPOSABLE Inpatient | 0272 RC | $274 | $151 | $164 – $241 | — | |
| HC ONCONTROL TRAY W INTRODUCER Inpatient | 0272 RC | $2,969 | $1,633 | $1,781 – $2,613 | — | |
| HC ORAL CARE KIT Inpatient | 0271 RC | $625 | $343 | $375 – $550 | — | |
| HC P-SELECTIN EXPRESS(PEA), HEMAT(HIT), PLAT AB REACTIV FLOW CYTOMET, SERUM Inpatient | 0275U CPT | $665 | $366 | $399 – $585 | — | |
| HC PACEMAKER WIRE, TEMPORARY Inpatient | 0272 RC | $1,150 | $633 | $690 – $1,012 | — | |
| HC PERIPH COVER STENT 11-15 CM Inpatient | 0272 RC | $9,228 | $5,075 | $5,537 – $8,121 | — | |
| HC PIG CM SIZING CATHETER Inpatient | 0272 RC | $981 | $540 | $589 – $863 | — |