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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC PET IMAGE W CT FULL BODY Inpatient | 78816 CPT | $10,000 | $5,500 | $6,000 – $8,800 | — | |
| HC RAD PHARM LOCZ TUM, PLANAR, SGL AREA, SGL DAY IMG Inpatient | 78800 CPT | $911 | $501 | $547 – $802 | — | |
| HC RADPHARM LOCZ TUM, PLANAR, WHOLE BODY, SGL DAY IMG Inpatient | 78802 CPT | $3,251 | $1,788 | $1,951 – $2,861 | — | |
| HC RAPID STREP, INFC AGENT ANTIGEN DETECT BY IMMUNOASSAY W DIRECT OPT OBSRV Inpatient | 87880 CPT | $99.00 | $54.45 | $59.40 – $87.12 | — | |
| HC WEST NILE VIRUS IGM ANTIBODY Inpatient | 86788 CPT | $130 | $71.50 | $78.00 – $114 | — |