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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| elotuzumab 25 mg/mL Recon Soln 1 Each Vial Inpatient | J9176 HCPCS | $10,265 | $5,646 | $5,133 – $9,034 | — | |
| GUIDEWIRE JAGTOME RX 39-20-260 Inpatient | C1769 HCPCS | $1,322 | $727 | $793 – $1,163 | — | |
| GUIDEWIRE WHOLEY J .035INX260 Inpatient | C1769 HCPCS | $473 | $260 | $284 – $417 | — | |
| HC AMPLATZ SUPER STIFF 0.035 X 260 Inpatient | C1769 HCPCS | $755 | $415 | $453 – $664 | — | |
| HC CT, ABDOMEN AND PELVIS, WITHOUT CONTRAST Inpatient | 74176 CPT | $3,296 | $1,813 | $1,978 – $2,900 | $235 | |
| HC HOMOGENIZATION, TISSUE, FOR CULTURE Inpatient | 87176 CPT | $34.00 | $18.70 | $20.40 – $29.92 | — | |
| HC REPAIR NAIL BED Inpatient | 11760 CPT | $1,033 | $568 | $620 – $909 | — | |
| HC ROTABLATOR WIRE Inpatient | C1769 HCPCS | $938 | $516 | $563 – $825 | — |