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.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| clindamycin phosphate 600 mg Solution 4 mL Vial Inpatient | J0736 HCPCS | $48.55 | $26.71 | $24.28 – $42.72 | — | |
| clindamycin phosphate in D5W 900 mg Solution 50 mL Flex Cont Inpatient | J0736 HCPCS | $121 | $66.75 | $60.68 – $107 | — | |
| HC INJ PROC CONTR KNEE ARTHROGRAPHY/CONTR ENHANCED CT/MRI KNEE ARTHROGRAPHY Inpatient | 27369 CPT | $720 | $396 | $432 – $634 | — | |
| HC X-RAY EXAM, ANKLE, COMPLETE, MINIMUM 3 VIEWS Inpatient | 73610 CPT | $363 | $200 | $218 – $319 | — |