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) | |
|---|---|---|---|---|---|---|
| amiodarone 450 MG/9ML Solution 9 mL Vial Inpatient | J0282 HCPCS | $83.05 | $45.68 | $41.53 – $73.08 | — | |
| fluconazole in NS 200-0.9 MG/100ML-% Solution 100 mL Flex Cont Inpatient | J1450 HCPCS | $61.50 | $33.83 | $30.75 – $54.12 | — | |
| HC CT, HEAD OR BRAIN, WITHOUT CONTRAST Inpatient | 70450 CPT | $1,854 | $1,020 | $1,112 – $1,632 | $102 | |
| HC CYTOCHROME P450 2C8, UNLISTED MOLECULAR PATHOLOGY PROCEDURE Inpatient | 81479 CPT | $152 | $83.60 | $91.20 – $134 | — | |
| HC CYTOCHROME P450 2D6 GENE ANALYSIS Inpatient | 81226 CPT | $857 | $471 | $514 – $754 | — | |
| HC CYTOCHROME P450 GENOTYPE PANEL, CYP2B6, UNLIST MOL PATH PROC Inpatient | 81479 CPT | $793 | $436 | $476 – $697 | — | |
| HC CYTOCHROME P450 GENOTYPE PANEL, CYP2C8, UNLIST MOL PATH PROC Inpatient | 81479 CPT | $148 | $81.13 | $88.50 – $130 | — | |
| HC CYTOCHROME P450 GENOTYPE PANEL, CYP2C9 GENE ANLYS, COMMON VAR Inpatient | 81227 CPT | $193 | $106 | $116 – $169 | — | |
| HC INJ(S), ANES AGENT(S)/STEROID, OTHER PERIPHERAL NERVE/BRANCH Inpatient | 64450 CPT | $1,126 | $619 | $676 – $991 | — |