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 ADENOVIRUS (1), INFC AGNT DTCT BY NA, NOS, QUANTFIC, EA ORG Inpatient | 87799 CPT | $687 | $378 | $412 – $605 | — | |
| HC EPSTEIN-BARR PLASMA, INFC AGNT DTCT BY NA, NOS, QUANTFIC, EA ORG Inpatient | 87799 CPT | $243 | $134 | $146 – $214 | — | |
| HC PATIENT ASSESS TDP SUBSEQ Inpatient | 94799 CPT | $112 | $61.60 | $67.20 – $98.56 | — | |
| HC SPUTUM SPECIMEN COLLECTION Inpatient | 94799 CPT | $186 | $102 | $112 – $164 | — |