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.

10 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1-2 ESCITALOPRAM (LEXAPRO) ASSAY Inpatient	80332 CPT	$147	$80.85	$88.20 – $129	—
HC DOPPLER ECHO COLOR FLOW MAPPING Inpatient	93325 CPT	$186	$102	$112 – $164	—
HC DOPPLR ECHO PLSE WAVE SPECT DISPL FOLLW-UP LTD Inpatient	93321 CPT	$309	$170	$185 – $272	—
HC FLUVOXAMINE, ANTIDEPRESSANTS, SEROTONERGIC CLASS, 1/2 Inpatient	80332 CPT	$141	$77.55	$84.60 – $124	—
HC INSERT REPL PERM PM W TRANSVEN ELCTRD ATR VENTR Inpatient	33208 CPT	$12,360	$6,798	$7,416 – $10,877	—
HC INSERT REPL TEMP TRNVEN SGL CHMBR ELCTR PM CATH Inpatient	33210 CPT	$9,822	$5,402	$5,893 – $8,643	—
HC INSERT REPLC PERM IMPL DEFIB W TRANSVEN LEAD(S) DUAL CHAMBR Inpatient	33249 CPT	$99,497	$54,723	$59,698 – $87,557	—
HC RELOCATION OF SKIN POCKET FOR PACEMAKER Inpatient	33222 CPT	$6,839	$3,761	$4,103 – $6,018	—
HC REM PERM PM PLSE GEN W REPL PLSE GEN DUAL LEAD Inpatient	33228 CPT	$30,563	$16,810	$18,338 – $26,895	—
HC REPOSITION PREV IMPL TRANSVEN PM OR IMPL DEFIB ELECTRODE Inpatient	33215 CPT	$4,665	$2,566	$2,799 – $4,105	—