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) | |
|---|---|---|---|---|---|---|
| HC HISTOPLASMA CAPSULATUM, INFC AGNT AG DTCT BY IA Inpatient | 87385 CPT | $78.00 | $42.90 | $46.80 – $68.64 | — | |
| HC IMRT COMPLEX Inpatient | 77386 CPT | $3,200 | $1,760 | $1,920 – $2,816 | — | |
| HC IMRT SIMPLE Inpatient | 77385 CPT | $2,862 | $1,574 | $1,717 – $2,519 | — | |
| HC INFC AGNT AG DTCT BY IA, HIV-1 AG, W HIV-1 & 2 AB Inpatient | 87389 CPT | $204 | $112 | $122 – $180 | $24.56 |