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.
11 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| daratumumab-hyaluronidase-fihj 1800-30000 mg-UT/15 mL Solution 15 mL Vial Inpatient | J9144 HCPCS | $43,360 | $23,848 | $21,680 – $38,156 | — | |
| HC ACUTE HEPATITIS PANEL Inpatient | 80074 CPT | $232 | $128 | $139 – $204 | — | |
| HC BLOOD GAS PH ONLY STAT Inpatient | 82800 CPT | $85.00 | $46.75 | $51.00 – $74.80 | — | |
| HC COMPREHEN METABOLIC PANEL Inpatient | 80053 CPT | $100 | $55.00 | $60.00 – $88.00 | $10.77 | |
| HC DRAIN ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES Inpatient | 41800 CPT | $2,080 | $1,144 | $1,248 – $1,830 | — | |
| HC FASCIOTOMY, FOOT AND/OR TOE Inpatient | 28008 CPT | $7,550 | $4,153 | $4,530 – $6,644 | — | |
| HC HEPATIC FUNCTION PANEL Inpatient | 80076 CPT | $72.00 | $39.60 | $43.20 – $63.36 | — | |
| HC LIPID PANEL Inpatient | 80061 CPT | $135 | $74.25 | $81.00 – $119 | $13.66 | |
| HC RAD PHARM LOCZ TUM, PLANAR, SGL AREA, SGL DAY IMG Inpatient | 78800 CPT | $911 | $501 | $547 – $802 | — | |
| HC RENAL FUNCTION PANEL Inpatient | 80069 CPT | $83.00 | $45.65 | $49.80 – $73.04 | — | |
| HC THYROGLOBULIN ANTIBODY Inpatient | 86800 CPT | $90.00 | $49.50 | $54.00 – $79.20 | — |