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 HLA CLS I TYP LOW RES ONE LOC EA_HLA A Inpatient | 81373 CPT | $319 | $175 | $191 – $281 | — | |
| HC MAGNESIUM ASSAY Inpatient | 83735 CPT | $59.00 | $32.45 | $35.40 – $51.92 | — | |
| HC MAGNESIUM URINE ASSAY Inpatient | 83735 CPT | $59.00 | $32.45 | $35.40 – $51.92 | — | |
| HC MECONIUM, TRAMADOL Inpatient | 80373 CPT | $126 | $69.30 | $75.60 – $111 | — | |
| HC SBRT DELIVERY Inpatient | 77373 CPT | $7,229 | $3,976 | $4,337 – $6,362 | — | |
| HC SUPERSATURATION PANEL MAGNESIUM Inpatient | 83735 CPT | $20.00 | $11.00 | $12.00 – $17.60 | — | |
| HC TRAMADOL URINE, DRUG SCREENING Inpatient | 80373 CPT | $154 | $84.70 | $92.40 – $136 | — |