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)
coagulation factor VIIa recombinant 1 MG Recon Soln 1,000 mcg Vial Inpatient	J7189 HCPCS	$10,984	$6,041	$5,492 – $9,666	—
HC ANTIBIOT PANEL, SUSCEPT STDY, ANTMICROB AGT, MICR/AGAR DILUT, PER PLT Inpatient	87186 CPT	$51.00	$28.05	$30.60 – $44.88	—
HC ERTA SUSCEPTIBILITY, STDY ANTIMICROBIAL AGENT MICRO/AGAR DILUT PER PLATE Inpatient	87186 CPT	$33.00	$18.15	$19.80 – $29.04	—
HC GM NEG FERMT, SUSCEPT STDY, ANTMICROB AGT, AGAR DILUT, PER AGNT Inpatient	87181 CPT	$53.00	$29.15	$31.80 – $46.64	—
HC GRAM NEG E, SUSCEPT STDY, ANTMICROB AGT, AGAR DILUT, PER AGNT Inpatient	87181 CPT	$53.00	$29.15	$31.80 – $46.64	—
HC MRI, LOWER EXTREMITY OTHER THAN JOINT, WITHOUT CONTRAST Inpatient	73718 CPT	$4,400	$2,420	$2,640 – $3,872	—
HC PRIM PERC TRANSLM MECH THRMBT, NONCRNRY, NONINTRCRN, ART, 2ND/SUBSEQ VES Inpatient	37185 CPT	$4,751	$2,613	$2,851 – $4,181	—
HC SUSCEPTB STDY ANTMCRB BETA LACTAMASE ENZYM DTCT Inpatient	87185 CPT	$40.00	$22.00	$24.00 – $35.20	—
HC SUSCEPTB STUDY ANTMCRB MACROBROTH FUNGL REF LAB Inpatient	87188 CPT	$315	$173	$189 – $277	—