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.
3 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC ETHYLENE GLYCOL ASSAY Inpatient | 82693 CPT | $103 | $56.65 | $61.80 – $90.64 | — | |
| HC US GUID FOR VASC ACCESS, DOC SELECT VSL PATENCY, VISUAL NDL ENTRY (ADD) Inpatient | 76937 CPT | $183 | $101 | $110 – $161 | — | |
| HC US GUIDED VASCULAR ACCESS (ADD ON) Inpatient | 76937 CPT | $183 | $101 | $110 – $161 | — |