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.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CANCER ANTIGEN 15-3 IMMUNOASSAY Inpatient | 86300 CPT | $118 | $64.90 | $70.80 – $104 | — | |
| HC CANCER ANTIGEN 19-9 FLUID IMMUNOASSAY Inpatient | 86301 CPT | $125 | $68.75 | $75.00 – $110 | — | |
| HC CANCER ANTIGEN 19-9 IMMUNOASSAY Inpatient | 86301 CPT | $118 | $64.90 | $70.80 – $104 | — | |
| HC IMMUNOASSAY TUMOR CA 125 Inpatient | 86304 CPT | $118 | $64.90 | $70.80 – $104 | — | |
| HC LACTOFERRIN, FECAL, QUAL Inpatient | 83630 CPT | $99.00 | $54.45 | $59.40 – $87.12 | — | |
| HC ROMA HUMAN EPIDIDYMIS PROTEIN 4 Inpatient | 86305 CPT | $143 | $78.38 | $85.50 – $125 | — |