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.

17 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
bevacizumab 100 MG/4ML Solution 4 mL Vial Inpatient	J9035 HCPCS	$3,611	$1,986	$1,806 – $3,178	—
bevacizumab 400 MG/16ML Solution 16 mL Vial Inpatient	J9035 HCPCS	$13,727	$7,550	$6,864 – $12,080	—
CAROTID ARTERY STENT PROCEDURES WITH CC Inpatient	035 MS-DRG	—	—	$16,732 – $70,434	—
GUIDEWIRE WHOLEY J .035INX260 Inpatient	C1769 HCPCS	$473	$260	$284 – $417	—
HC AMPHETAMINE MDA, METHYLENEDIOXYAMPHETAMINES (MDA, MDEA, MDMA) Inpatient	80359 CPT	$158	$86.90	$94.80 – $139	—
HC AMPLATZ SUPER STIFF 0.035 X 260 Inpatient	C1769 HCPCS	$755	$415	$453 – $664	—
HC COCAINE METABOLITE URINE QUANT, COCAINE, DRUG SCREEN Inpatient	80353 CPT	$154	$84.70	$92.40 – $136	—
HC COCAINE UMBILICAL TISSUE, DRUG SCREENING Inpatient	80353 CPT	$126	$69.30	$75.60 – $111	—
HC DRUG SCREEN, METHADONE SERUM Inpatient	80358 CPT	$130	$71.50	$78.00 – $114	—
HC HEROIN METABOLITE, UMBILICAL TISSUE, DRUG SCREENING Inpatient	80356 CPT	$126	$69.30	$75.60 – $111	—
HC MDA QUANT URINE, METHYLENEDIOXYAMPHETAMINES, DRUG SCREEN Inpatient	80359 CPT	$138	$75.90	$82.80 – $121	—
HC MECONIUM, GABAPENTIN, NON-BLOOD Inpatient	80355 CPT	$126	$69.30	$75.60 – $111	—
HC MECONIUM, METHYLENEDIOXYAMPHETAMINES Inpatient	80359 CPT	$126	$69.30	$75.60 – $111	—
HC METHYLENEDIOXYAMPHETAMINES, UMBILICAL TISSUE, DRUG SCREENING Inpatient	80359 CPT	$126	$69.30	$75.60 – $111	—
HC NOVEL PSYCHOA DRUGS, CANNABINOIDS, SYNTHETIC 7 OR MORE Inpatient	80352 CPT	$126	$69.30	$75.60 – $111	—
HC PT, ULTRASOUND THERAPY, EACH 15 MIN Inpatient	97035 CPT	$110	$60.50	$66.00 – $96.80	—
HC UMBILICAL TISSUE, GABAPENTIN, NON-BLOOD Inpatient	80355 CPT	$126	$69.30	$75.60 – $111	—