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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ANE LEVEL 4 GEN INCAP ADDL 15 MIN Inpatient | 0370 RC | $772 | $425 | $463 – $679 | — | |
| HC ANE LEVEL 6 GEN DONOR ADDL 15 MIN Inpatient | 0370 RC | $856 | $471 | $514 – $753 | — | |
| HC ANE MONITORED ADDL 15 MIN Inpatient | 0370 RC | $428 | $235 | $257 – $377 | — | |
| HC CT, LOWER EXTREM, W/O CONTRAST, F/B CONTRAST AND FURTHER SECTIONS Inpatient | 73702 CPT | $4,120 | $2,266 | $2,472 – $3,626 | — | |
| HC CT, LOWER EXTREMITY, WITHOUT CONTRAST Inpatient | 73700 CPT | $1,854 | $1,020 | $1,112 – $1,632 | — | |
| HC MODERATE SEDATION SAME PHYSICIAN/QHP, INIT 15 MIN, PAT 5 YRS AND OLDER Inpatient | 0370 RC | $214 | $118 | $128 – $188 | — | |
| HC SPECIAL RADIATION PHYSICS CONSULT Inpatient | 77370 CPT | $1,055 | $580 | $633 – $928 | — |