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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| glycopyrrolate 0.2 MG/ML Solution 1 mL Vial Inpatient | J1596 HCPCS | $77.85 | $42.82 | $38.93 – $68.51 | — | |
| glycopyrrolate 1 MG/5ML Solution 5 mL Vial Inpatient | J1596 HCPCS | $301 | $166 | $151 – $265 | — | |
| HC MDS1, VOLTAGE-GATED CALCIUM CHANNEL AB, EA Inpatient | 86596 CPT | $67.00 | $36.85 | $40.20 – $58.96 | — | |
| HC PARANEOPLAS AUTAB, P/Q TYPE, VOLTAGE-GATED CALCIUM CHANNEL AB, EA Inpatient | 86596 CPT | $244 | $134 | $146 – $215 | — | |
| HC VOLTAGE GATED CALCIUM CHANNEL AB, EA Inpatient | 86596 CPT | $213 | $117 | $128 – $187 | — |