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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC INJ PROC CONTR KNEE ARTHROGRAPHY/CONTR ENHANCED CT/MRI KNEE ARTHROGRAPHY Inpatient | 27369 CPT | $720 | $396 | $432 – $634 | — | |
| HC INTRO NEEDLE/CATH, DIALYSIS CIRCUIT Inpatient | 36901 CPT | $5,205 | $2,863 | $3,123 – $4,580 | — | |
| HC INTRO NEEDLE/CATH, DIALYSIS CIRCUIT, W/ PERIPHERAL PTA Inpatient | 36902 CPT | $19,318 | $10,625 | $11,591 – $17,000 | — | |
| HC LIPOPROTEIN PLA2 ASSAY Inpatient | 83698 CPT | $137 | $75.35 | $82.20 – $121 | — | |
| HC LIPOPROTEIN(A) ASSAY Inpatient | 83695 CPT | $110 | $60.50 | $66.00 – $96.80 | — |