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.
9 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| GASTROINTESTINAL HEMORRHAGE WITH CC Inpatient | 378 MS-DRG | — | — | $6,864 – $28,895 | — | |
| HC 1,5 ANHYDROGLUCITIOL, SUGAR, SINGLE QUANT, EA SPCMN Inpatient | 84378 CPT | $113 | $61.88 | $67.50 – $99.00 | — | |
| HC BILE ACIDS FREE & T FECES, MASS & TANDEM SPECT, NON-DRG ANLYT, EA SPCMN Inpatient | 83789 CPT | $513 | $282 | $308 – $451 | — | |
| HC ERYTHROCYTOSIS EVALUATION, MASS & TANDEM SPECT, NON-DRG ANLYT, EA SPCMN Inpatient | 83789 CPT | $661 | $363 | $396 – $581 | — | |
| HC IODINE UR (1), MASS AND TANDEM MASS SPECTR, NON-RX ANALYTE NES, EA SPEC Inpatient | 83789 CPT | $250 | $138 | $150 – $220 | — | |
| HC MANGANESE BLOOD ASSAY Inpatient | 83785 CPT | $176 | $96.80 | $106 – $155 | — | |
| HC MANGANESE URINE ASSAY Inpatient | 83785 CPT | $110 | $60.50 | $66.00 – $96.80 | — | |
| HC OUTPATIENT OBSERVATION CARVE-OUT CARDIOLOGY Inpatient | G0378 HCPCS | $79.00 | $43.45 | $47.40 – $69.52 | — | |
| HC OUTPATIENT OBSERVATION CARVE-OUT RADIOLOGY Inpatient | G0378 HCPCS | $79.00 | $43.45 | $47.40 – $69.52 | — |