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.

14 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC 3-METHOXYTYRAMINE, 24 HR URINE, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$552	$304	$331 – $486	—
HC 6MP THIOPURINE METABOLITES, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$190	$105	$114 – $167	—
HC 6TG, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$190	$105	$114 – $167	—
HC ANSER IFX (INFLIXIMAB) ANTIBODY, COL CHROMOTOGRAPHY QUAL/QUAN Inpatient	82542 CPT	$294	$161	$176 – $258	—
HC ANSER UST (USTEKINUMAB) ANTIBODY, COL CHROMOTOGRAPHY QUAL/QUAN Inpatient	82542 CPT	$1,104	$607	$662 – $972	—
HC ANSER VDZ (VEDOLOZUMAB) ANTIBODY, COL CHROMOTOGRAPHY QUAL/QUAN Inpatient	82542 CPT	$294	$161	$176 – $258	—
HC BILE ACID BOWEL DYSFUNCT FECES, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$449	$247	$269 – $395	—
HC COENZYME Q10, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$67.00	$36.85	$40.20 – $58.96	—
HC F2 ISOPROSTANES URINE, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$263	$145	$158 – $231	—
HC FATTY ACID PROFILE, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$354	$195	$212 – $312	—
HC GUANIDINOACETATE URINE, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$103	$56.65	$61.80 – $90.64	—
HC MAYO AMYLOID PROTEIN ID, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$162	$89.10	$97.20 – $143	—
HC OMEGA CHECK, COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC Inpatient	82542 CPT	$55.00	$30.25	$33.00 – $48.40	—
HC PYRIDOXINE-DEPEND EPILEPSY PNL, COL CHRMTGRPH, NES, QUAL/QUANT, EA SPCMN Inpatient	82542 CPT	$322	$177	$193 – $283	—