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.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| acetaminophen 325 MG Suppos 12 Each Box Inpatient | 0250 RC | $4.83 | $2.66 | $2.90 – $4.25 | — | |
| aspirin 325 MG Tab 500 Each Box Inpatient | 0250 RC | $4.21 | $2.32 | $2.53 – $3.70 | — | |
| butalbital/acetaminophen/caffeine 50-325-40 mg Tab 100 Each Bottle Inpatient | 0250 RC | $10.47 | $5.76 | $6.28 – $9.21 | — | |
| butalbital/aspirin/caffeine 50-325-40 MG Cap 100 Each Bottle Inpatient | 0250 RC | $11.30 | $6.22 | $6.78 – $9.94 | — | |
| HC AMPHETAMINES 3 OR 4, UMBILICAL TISSUE, DRUG SCREEN QUANT Inpatient | 80325 CPT | $126 | $69.30 | $75.60 – $111 | — | |
| HC DOPPLER ECHO COLOR FLOW MAPPING Inpatient | 93325 CPT | $186 | $102 | $112 – $164 | — |