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.
9 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CHEMO ADMIN, IV, PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG Inpatient | 96409 CPT | $796 | $438 | $478 – $700 | — | |
| HC CHEMO ADMIN, SUBCUTANEOUS/INTRAMUSCULAR, HORMONAL ANTI-NEOPLASTIC Inpatient | 96402 CPT | $243 | $134 | $146 – $214 | — | |
| HC CRYOTICICCAL PARTICLE AGGLUTINATION SCREEN Inpatient | 86403 CPT | $131 | $72.05 | $78.60 – $115 | — | |
| HC DESTR BY NEUROLYT AGENT, OTHER PERIPHERAL NERVE/BRANCH Inpatient | 64640 CPT | $1,567 | $862 | $940 – $1,379 | — | |
| HC HHN TREATMENT INITIAL PER DAY Inpatient | 94640 CPT | $190 | $105 | $114 – $167 | — | |
| HC INFC AGT DTCT BY NA STAPHYLOCOCCUS AUREUS AMP PROBE Inpatient | 87640 CPT | $231 | $127 | $139 – $203 | — | |
| HC IPPB TREATMENT INITIAL PER DAY Inpatient | 94640 CPT | $190 | $105 | $114 – $167 | — | |
| HC SPUTUM INDUCTION SUBSQ Inpatient | 94640 CPT | $190 | $105 | $114 – $167 | — | |
| HC VENIPUNCTURE, UNDER 3 YRS, PHYS/QHP SKILL, NON-ROUTINE, OTHER VEIN Inpatient | 36406 CPT | $405 | $223 | $243 – $356 | — |