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) | |
|---|---|---|---|---|---|---|
| aspirin 81 MG Tablet Delayed Response 180 Each Bottle Inpatient | 0250 RC | $4.09 | $2.25 | $2.45 – $3.60 | — | |
| daratumumab-hyaluronidase-fihj 1800-30000 mg-UT/15 mL Solution 15 mL Vial Inpatient | J9144 HCPCS | $43,360 | $23,848 | $21,680 – $38,156 | — | |
| esmolol in sodium chloride 2,000 mg/100 mL Solution 100 mL Flex Cont Inpatient | J1805 HCPCS | $605 | $333 | $303 – $533 | — | |
| folic acid 5 MG/ML Solution 10 mL Vial Inpatient | J1808 HCPCS | $189 | $104 | $94.28 – $166 | — | |
| HC BULLOUSPEMPHIGOID 180 IMMUNOASSY MULTIPLE METHD Inpatient | 83516 CPT | $353 | $194 | $212 – $311 | — | |
| HC BX ABDOMINAL RETROPERITONEAL MASS PERCUT NDL Inpatient | 49180 CPT | $2,204 | $1,212 | $1,322 – $1,940 | — | |
| HC DRAIN ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES Inpatient | 41800 CPT | $2,080 | $1,144 | $1,248 – $1,830 | — | |
| HC INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION Inpatient | 10180 CPT | $5,014 | $2,758 | $3,008 – $4,412 | — | |
| HC REPAIR, LACERATION OF PALATE, UP TO 2 CM Inpatient | 42180 CPT | $822 | $452 | $493 – $723 | — |