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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CERIBELL, EEG EXTENDED MONITORING, 41-60 MIN Inpatient | 95812 CPT | $933 | $513 | $560 – $821 | — | |
| HC CERIBELL, EEG, INCL RECORDING AWAKE AND DROWSY Inpatient | 95816 CPT | $848 | $466 | $509 – $746 | — | |
| HC INFCT AGNT DETCT DNA AMP PRBE MYCOPLASMA PNEUM Inpatient | 87581 CPT | $169 | $92.95 | $101 – $149 | — | |
| HC OT, APPL MULTI-LAYER COMPRESSION SYS, LEG, INCL ANKLE AND FOOT Inpatient | 29581 CPT | $552 | $304 | $331 – $486 | $220 | |
| HC POLYSOMNOGRAPY W CPAP OR BIPAP Inpatient | 95811 CPT | $5,550 | $3,053 | $3,330 – $4,884 | — | |
| HC SERUM VISCOSITY EXAMINATION Inpatient | 85810 CPT | $216 | $119 | $130 – $190 | — | |
| HC STREPTOCOCCUS PNEUMONIAE 23 SEROTYPES, MULTPLX IA, QUANT Inpatient | 86581 CPT | $135 | $73.98 | $80.70 – $118 | — | |
| HC STREPTOCOCCUS PNEUMONIAE 9 SEROTYPES, MULTPLX IA, QUANT Inpatient | 86581 CPT | $84.50 | $46.48 | $50.70 – $74.36 | — |