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.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CHARCOT-MARIE-TOOTH HERED NEUROPATHY, GENOM SEQ ANLYS PNL, 5 GENES Inpatient | 81448 CPT | $2,147 | $1,181 | $1,288 – $1,889 | — | |
| HC INJ(S), ANES AGENT/STEROID, TFE, W/ IMG GUID, L-S, SINGLE LEVEL Inpatient | 64483 CPT | $2,773 | $1,525 | $1,664 – $2,440 | — | |
| HC NERVE BLOCK INJ, TAP BILATERAL Inpatient | 64488 CPT | $2,736 | $1,505 | $1,642 – $2,408 | — | |
| HC T3 REVERSE Inpatient | 84482 CPT | $90.00 | $49.50 | $54.00 – $79.20 | — | |
| HC TOTAL TRIIODOTHYRONINE (T3) ASSAY Inpatient | 84480 CPT | $80.00 | $44.00 | $48.00 – $70.40 | — | |
| HC TRIIODOTHYRONINE (T3) FREE ASSAY Inpatient | 84481 CPT | $86.00 | $47.30 | $51.60 – $75.68 | — |