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.
11 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC 24 HOURS, FAT OR LIPIDS, FECES, QUANT Inpatient | 82710 CPT | $71.00 | $39.05 | $42.60 – $62.48 | — | |
| HC 48 HOURS, FAT OR LIPIDS, FECES, QUANT Inpatient | 82710 CPT | $92.00 | $50.60 | $55.20 – $80.96 | — | |
| HC BLOOD FUNGUS CULTURE Inpatient | 87103 CPT | $213 | $117 | $128 – $187 | — | |
| HC CHANGE CYSTOSTOMY TUBE COMPLEX Inpatient | 51710 CPT | $822 | $452 | $493 – $723 | — | |
| HC FUNGUS CULTURE ISOLATION & PRESUMPTIVE ID Inpatient | 87102 CPT | $49.00 | $26.95 | $29.40 – $43.12 | — | |
| HC PACU LEVEL 1 BASE, FIRST 15 MIN Inpatient | 0710 RC | $780 | $429 | $468 – $686 | — | |
| HC PACU LEVEL 2 BASE, FIRST 15 MIN Inpatient | 0710 RC | $822 | $452 | $493 – $723 | — | |
| HC PHASE 2 LEVEL 2 Inpatient | 0710 RC | $646 | $355 | $388 – $568 | — | |
| HC X-RAY EXAM, CHEST, 2 VIEWS Inpatient | 71046 CPT | $244 | $134 | $146 – $215 | $84.71 | |
| HC X-RAY EXAM, CHEST, 4 OR MORE VIEWS Inpatient | 71048 CPT | $451 | $248 | $271 – $397 | — | |
| HC X-RAY EXAM, CHEST, SINGLE VIEW Inpatient | 71045 CPT | $191 | $105 | $115 – $168 | $84.71 |