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.

22 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ADIPONECTIN, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$356	$196	$214 – $313	—
HC ALZHEIMER'S DISEASE EVAL CSF, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$449	$247	$269 – $395	—
HC CYTOKINES EACH, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$44.00	$24.20	$26.40 – $38.72	—
HC DEMYELINATING NEUROPATHY QUANT, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$75.00	$41.25	$45.00 – $66.00	—
HC FIBROBLAST GROWTH FACTOR 23, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$537	$295	$322 – $473	—
HC FREE INSULIN ASSAY Inpatient	83527 CPT	$53.00	$29.15	$31.80 – $46.64	—
HC INSULIN ASSAY Inpatient	83525 CPT	$64.00	$35.20	$38.40 – $56.32	—
HC KAPPA FREE, IMMUNOGLOBULIN LIGHT CHAINS, EACH Inpatient	83521 CPT	$105	$57.75	$63.00 – $92.40	—
HC KAPPA LAMBA FREE, IMMUNOGLOBULIN LIGHT CHAINS URINE, EA Inpatient	83521 CPT	$57.00	$31.35	$34.20 – $50.16	—
HC MATA AUTOANTIBODY,IMMUNOASSAY ANALYTE QUANT NOS Inpatient	83520 CPT	$1,260	$693	$756 – $1,109	—
HC MUTAT CITRULLINATED VIMENTIN AB, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$241	$133	$145 – $212	—
HC NOVEL PSYCHOA DRUGS, CANNABINOIDS, SYNTHETIC 7 OR MORE Inpatient	80352 CPT	$126	$69.30	$75.60 – $111	—
HC OXIDIZED LDL, LIPOPROTEIN, DIR MEASUREMENT, LDL CHOLESTEROL Inpatient	83520 CPT	$79.00	$43.45	$47.40 – $69.52	—
HC PANCREATIC ELASTASE 1 (PE1) FE, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$79.00	$43.45	$47.40 – $69.52	—
HC PHOSPHO-TAU 217, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$793	$436	$476 – $697	—
HC SENS NEUROPATHY QUANT IMMUNOASSAY, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$131	$71.78	$78.30 – $115	—
HC SULFATIDE ANTIBODY EA, IA ANLY O/THAN INFECT AGENT AB/AG, QUANT, NOS Inpatient	83520 CPT	$53.00	$29.15	$31.80 – $46.64	—
HC TRANSFORMING GROWTH FACTOR BETA, IMMUNOASSAY ANALYTE QUANTITATIVE NOS Inpatient	83520 CPT	$132	$72.60	$79.20 – $116	—
HC TSH RECEPTOR ANTIBODY, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$38.00	$20.90	$22.80 – $33.44	—
HC VASC ENDOTHELIAL GROWTH FACTOR D, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$835	$459	$501 – $735	—
HC VWF PROPEPTIDE ANTIGEN, IA ANLYT OTH TH INFC AGNT AB/AG, NOS Inpatient	83520 CPT	$387	$213	$232 – $341	—
HC X-RAY EXAM, HIPS, BILATERAL, WITH PELVIS WHEN PERFORMED, 2 VIEWS Inpatient	73521 CPT	$419	$230	$251 – $369	—