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.
3 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CT, THORACIC SPINE, WITH CONTRAST Inpatient | 72129 CPT | $2,575 | $1,416 | $1,545 – $2,266 | — | |
| HC FACILITY E&M LEVEL 2 Inpatient | 99212 CPT | $152 | $83.60 | $91.20 – $134 | — | |
| HC TRNSCATH THER, VEN INFUS THROMBLYS NON-COR/INTRCRAN, INIT TX DAY Inpatient | 37212 CPT | $3,446 | $1,895 | $2,068 – $3,032 | — |