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.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| adenosine 12 MG/4ML Solution 4 mL Vial Inpatient | J0153 HCPCS | $195 | $107 | $97.40 – $171 | — | |
| DAUNOrubicin-cytarabine liposomal 44-100 MG Recon Susp 1 Each Vial Inpatient | J9153 HCPCS | $44,162 | $24,289 | $22,081 – $38,862 | — | |
| HC PSK, 4K SCORE, ONC, BIOCHEM ASSAY 4 PROTEINS Inpatient | 81539 CPT | $1,249 | $687 | $749 – $1,099 | — | |
| HC REPR, COMPLX, EYELID, NOSE, EARS/LIPS, EA ADL 5 CM/LESS (AD) Inpatient | 13153 CPT | $1,845 | $1,015 | $1,107 – $1,624 | — |