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.

16 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC AMPHETAMINE UR, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$109	$59.95	$65.40 – $95.92	—
HC BARBITURATES UR, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$109	$59.95	$65.40 – $95.92	—
HC BONE HISTOMORPHOLOGY LEVEL V Inpatient	88307 CPT	$7,078	$3,893	$4,247 – $6,229	—
HC BUPRENORPHINE UR, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ Inpatient	80307 CPT	$97.00	$53.35	$58.20 – $85.36	—
HC CANNABINOID UR, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$109	$59.95	$65.40 – $95.92	—
HC COCAINE URINE, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$109	$59.95	$65.40 – $95.92	—
HC DRUG SCREEN PNL 9, DRG TST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$219	$120	$131 – $193	—
HC DRUG TEST PANEL, URINE, PRESUM, ANY NUM DRG, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$335	$184	$201 – $294	—
HC DRUG TEST PANEL, URINE, PRESUM, ANY NUM DRG, CHEM ANLYZ, PER DOS ARUP Inpatient	80307 CPT	$91.50	$50.33	$54.90 – $80.52	—
HC ETHANOL URINE, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$120	$66.00	$72.00 – $106	—
HC ETHYL GLUCURONIDE URINE, DRUG TST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ Inpatient	80307 CPT	$88.00	$48.40	$52.80 – $77.44	—
HC GAMMA HB ACID UR, DRUG TST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$203	$112	$122 – $179	—
HC OXYCODONE URINE, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$97.00	$53.35	$58.20 – $85.36	—
HC PCP URINE, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$330	$182	$198 – $290	—
HC TARGETED DRUG PANEL, DRG TST, PRESUM, ANY NUM Inpatient	80307 CPT	$8.50	$4.68	$5.10 – $7.48	—
HC TRICYCLIC, DRUG TEST, PRESUMP, ANY NUM DRG CL, CHEM ANLYZ, PER DOS Inpatient	80307 CPT	$97.00	$53.35	$58.20 – $85.36	—