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 IMMUNOGLOBULIN G SUBCLASS 3 Inpatient | 82787 CPT | $46.00 | $25.30 | $27.60 – $40.48 | — | |
| HC IMMUNOGLOBULIN G SUBCLASS 4 (2) Inpatient | 82787 CPT | $46.00 | $25.30 | $27.60 – $40.48 | — | |
| HC VARICELLA-ZOSTER ANTIBODY Inpatient | 86787 CPT | $109 | $59.95 | $65.40 – $95.92 | — | |
| HC VARICELLA-ZOSTER IGM ANTIBODY Inpatient | 86787 CPT | $109 | $59.95 | $65.40 – $95.92 | — |