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.

24 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ACETYLCHOLINE RECEPTOR BLOCKING, IMMUN ANALYTE QUAL/SEMIQUAL MULT STEP Inpatient	83516 CPT	$148	$81.40	$88.80 – $130	—
HC ANTI-PARIETAL CELL ANTBD IMUNASSY MULTIPL METHD Inpatient	83516 CPT	$96.00	$52.80	$57.60 – $84.48	—
HC BULLOUSPEMPHIGOID 180 IMMUNOASSY MULTIPLE METHD Inpatient	83516 CPT	$353	$194	$212 – $311	—
HC DESMOGLEIN 3 IMMUNOASSAY MULTIPLE METHOD Inpatient	83516 CPT	$353	$194	$212 – $311	—
HC EARLY SJOGREN'S SYNDROME, IA ANLYT OTH TH INFC AGNT AB/AG, MULT STEP Inpatient	83516 CPT	$36.50	$20.08	$21.90 – $32.12	—
HC HISTONE ANTIBODY, IMMUNOASSAY ANALYTE, QUAL/SEMIQ, MULT STEP Inpatient	83516 CPT	$71.00	$39.05	$42.60 – $62.48	—
HC IMMUNOASSAY ANALYTE INFC AGNT ANTIBODY/ ANTIGEN QUAL, SEMI QUAL, MULTI Inpatient	83516 CPT	$96.00	$52.80	$57.60 – $84.48	—
HC INJECTION PROCEDURE FOR CYSTOGRAPY OR VOIDING URETHROCYSTOGRAPY Inpatient	51600 CPT	$1,206	$663	$724 – $1,061	—
HC MAG DUAL ANTIGEN AB, IA ANLYT OTH TH INFC AGNT AB/AG, MULT STEP Inpatient	83516 CPT	$61.00	$33.55	$36.60 – $53.68	—
HC MITOCHONDRIAL ANTIBODY IMMUNASSY MULTIPLE METHD Inpatient	83516 CPT	$96.00	$52.80	$57.60 – $84.48	—
HC MOTOR AND SENSORY NEUROPATHY, IMMUNOASSAY NONANTIBODY Inpatient	83516 CPT	$77.00	$42.35	$46.20 – $67.76	—
HC MYELOPEROXIDASE & PROTEINASE 3 AB, IMMASSY ANALYTE, MULT STEP Inpatient	83516 CPT	$35.50	$19.53	$21.30 – $31.24	—
HC MYELOPEROXIDASE AB, IMMUNOASSAY ANALYTE, MULT STEP Inpatient	83516 CPT	$86.00	$47.30	$51.60 – $75.68	—
HC MYOMARKER OJ AB, IMMUNOASSAY ANALYTE, QUAL, MULT STEP METHOD Inpatient	83516 CPT	$56.00	$30.80	$33.60 – $49.28	—
HC MYOMARKER SEMI-QUANT, IA ANLYT OTH TH INFC AGNT AB/AG, MULT STEP Inpatient	83516 CPT	$76.00	$41.80	$45.60 – $66.88	—
HC MYOSITIS IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP Inpatient	83516 CPT	$122	$67.10	$73.20 – $107	—
HC PEMPHIGOID AB, IA ANLYT OTH TH INFC AGNT AB/AG, MULT STEP Inpatient	83516 CPT	$233	$128	$140 – $205	—
HC PROTEINASE 3 ANTIBODY IMMUNOASSY MULTIPLE METHD Inpatient	83516 CPT	$96.00	$52.80	$57.60 – $84.48	—
HC RHEUMATOID FACTOR IGA BY ELISA, IMMUN ANALYTE QUAL/SEMIQUAL MULT STEP Inpatient	83516 CPT	$77.00	$42.35	$46.20 – $67.76	—
HC RHEUMATOID FACTOR IGG BY ELISA IA ANLYT OTH TH INFC AGNT AB/AG MULT STEP Inpatient	83516 CPT	$77.00	$42.35	$46.20 – $67.76	—
HC RIBOSOMAL P ANTIBODY IMMUNOASSAY MULTIPLE METHD Inpatient	83516 CPT	$89.00	$48.95	$53.40 – $78.32	—
HC SOLUBLE LIVER ANTIG ANTIBD IGG IMUNASSY MULTIPL Inpatient	83516 CPT	$79.00	$43.45	$47.40 – $69.52	—
HC TISSUE TRANSLUTAMINASE IGG, IMMUNOASSAY ANALYTE, QUAL/SEMIQ, MULT STEP Inpatient	83516 CPT	$96.00	$52.80	$57.60 – $84.48	—
HC TITIN ANTIBODY IMMUNOASSAY MULTIPLE METHOD Inpatient	83516 CPT	$699	$384	$419 – $615	—