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) | |
|---|---|---|---|---|---|---|
| HC AMPHOTERICINE LEVEL, QUANT THER DRUG, NES Inpatient | 80299 CPT | $218 | $120 | $131 – $191 | — | |
| HC ANSER UST SERUM, USTEKINUMAB, QUANTITATION THERAPEUTIC DRUG, NES Inpatient | 80299 CPT | $2,423 | $1,333 | $1,454 – $2,132 | — | |
| HC AZITHROMYCIN, QUANTITATION THERAPEUTIC DRUG, NES Inpatient | 80299 CPT | $164 | $90.20 | $98.40 – $144 | — | |
| HC DEXAMETHASONE, QUANTITATION THERAPEUTIC DRUG, NOS Inpatient | 80299 CPT | $68.00 | $37.40 | $40.80 – $59.84 | — | |
| HC ISAVUCONAZOLE, QUANT THER DRUG, NES Inpatient | 80299 CPT | $408 | $224 | $245 – $359 | — | |
| HC RIFABUTIN, QUANTITATION THERAPEUTIC DRUG, NES Inpatient | 80299 CPT | $154 | $84.43 | $92.10 – $135 | — | |
| HC RISANKIZUMAB, QUANT THER DRUG, NES Inpatient | 80299 CPT | $542 | $298 | $325 – $477 | — | |
| HC TRIKAFTA, QUANTITATION DRUG NOT ELSEWHERE SPECIFIED Inpatient | 80299 CPT | $532 | $293 | $319 – $468 | — |