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.
9 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CONCUSSION WITH MCC Inpatient | 088 MS-DRG | — | — | $9,462 – $39,829 | — | |
| darbepoetin alfa 150 mcg/0.3 mL Solution Prefilled Syringe 0.3 mL Syringe Inpatient | J0881 HCPCS | $6,401 | $3,520 | $3,200 – $5,632 | — | |
| darbepoetin alfa 60 MCG/0.3ML Solution Prefilled Syringe 0.3 mL Syringe Inpatient | J0881 HCPCS | $2,569 | $1,413 | $1,285 – $2,261 | — | |
| epoetin alfa 20,000 units/mL Solution 1 mL Vial Inpatient | J0885 HCPCS | $2,955 | $1,625 | $1,477 – $2,600 | — | |
| epoetin alfa 40,000 units/mL Solution 1 mL Vial Inpatient | J0885 HCPCS | $5,895 | $3,242 | $2,947 – $5,187 | — | |
| epoetin alfa 4000 UNIT/ML Solution 1 mL Vial Inpatient | J0885 HCPCS | $446 | $245 | $223 – $393 | — | |
| HC ALDOSTERONE URINE ASSAY Inpatient | 82088 CPT | $347 | $191 | $208 – $305 | — | |
| HC HISTAMINE BLOOD ASSAY Inpatient | 83088 CPT | $188 | $103 | $113 – $165 | — | |
| HC URINE BACTERIA CULTR ISOLATN & PRESUMPTIVE ID Inpatient | 87088 CPT | $54.00 | $29.70 | $32.40 – $47.52 | — |