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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC AMYLASE ISOENZYME ASSAY Inpatient | 82150 CPT | $23.00 | $12.65 | $13.80 – $20.24 | — | |
| HC DEOXYRIBONUCLEASE ANTIBODY Inpatient | 86215 CPT | $155 | $85.25 | $93.00 – $136 | — | |
| HC FACILITY E&M LEVEL 5 Inpatient | 99215 CPT | $324 | $178 | $194 – $285 | — | |
| HC MRI, SPINAL CANAL-CONTENTS, CERV, W/O CONTRAST, F/B CONTRAST-FURTHER SEQ Inpatient | 72156 CPT | $4,000 | $2,200 | $2,400 – $3,520 | — | |
| HC REPOSITION PREV IMPL TRANSVEN PM OR IMPL DEFIB ELECTRODE Inpatient | 33215 CPT | $4,665 | $2,566 | $2,799 – $4,105 | — |