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) | |
|---|---|---|---|---|---|---|
| GUIDEWIRE JAGTOME RX 39-20-260 Inpatient | C1769 HCPCS | $1,322 | $727 | $793 – $1,163 | — | |
| GUIDEWIRE WHOLEY J .035INX260 Inpatient | C1769 HCPCS | $473 | $260 | $284 – $417 | — | |
| HC AMPLATZ SUPER STIFF 0.035 X 260 Inpatient | C1769 HCPCS | $755 | $415 | $453 – $664 | — | |
| HC ROTABLATOR WIRE Inpatient | C1769 HCPCS | $938 | $516 | $563 – $825 | — | |
| HC TOTAL QUANT SPIKE, ANTIBODY, SARS-COV-2 Inpatient | 86769 CPT | $118 | $64.90 | $70.80 – $104 | — | |
| HC US GUID FOR VASC ACCESS, DOC SELECT VSL PATENCY, VISUAL NDL ENTRY (ADD) Inpatient | 76937 CPT | $183 | $101 | $110 – $161 | — | |
| HC US GUIDE INTRAOP Inpatient | 76998 CPT | $547 | $301 | $328 – $481 | — | |
| HC US GUIDED VASCULAR ACCESS (ADD ON) Inpatient | 76937 CPT | $183 | $101 | $110 – $161 | — | |
| HC US POC, GUID NEEDLE PLACE (BX, ASPIR, INJ, LOCALZ DEV), IMG SUPRV-INTERP Inpatient | 76942 CPT | $337 | $185 | $202 – $297 | — |