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.

19 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC BCR-ABL1 P190 QUANT, TRANSLOCATION ANALYSIS, MINOR BREAKPOINT Inpatient	81207 CPT	$379	$208	$227 – $334	—
HC BCR-ABL1 QUAL W/REFLEX TO P190/P210 QUANT,MAJOR BREAKPT Inpatient	81206 CPT	$379	$208	$227 – $334	—
HC BRAF MUTATION DETECTION BY IDYLLA, GENE ANLYS, V600 VARIANT Inpatient	81210 CPT	$455	$250	$273 – $400	—
HC CD3/CD33 ENRICHMENT (ENGRAFTMENT) W/ COMP TO BASELINE W/ CELL SELECT EA Inpatient	81268 CPT	$1,818	$1,000	$1,091 – $1,599	—
HC CERIBELL, EEG EXTENDED MONITORING, 41-60 MIN Inpatient	95812 CPT	$933	$513	$560 – $821	—
HC CYP3A5 GENE ANALYSIS COMMON VARIANTS Inpatient	81231 CPT	$193	$106	$116 – $169	—
HC CYTOCHROME P450 2D6 GENE ANALYSIS Inpatient	81226 CPT	$857	$471	$514 – $754	—
HC CYTOCHROME P450 GENOTYPE PANEL, CYP2C9 GENE ANLYS, COMMON VAR Inpatient	81227 CPT	$193	$106	$116 – $169	—
HC ENGRAFTMENT CD3/CD33, CHIMERISM W/ COMP TO BASELINE W/ CELL SELECTION EA Inpatient	81268 CPT	$1,981	$1,090	$1,189 – $1,743	—
HC ENGRAFTMENT/CHIMERISM POST (BONE MARROW) SPECIMEN WO CELL SELECTION Inpatient	81267 CPT	$795	$437	$477 – $700	—
HC ENGRAFTMENT/CHIMERISM-POST TRANSPLANT SPECIMEN WO CELL SELECTION Inpatient	81267 CPT	$795	$437	$477 – $700	—
HC FACTOR V GENE MUTATION ANALYSIS LEIDEN VARIANT Inpatient	81241 CPT	$784	$431	$470 – $690	—
HC GJB2 SEQUENCE ANALYSIS, COMMON VAR Inpatient	81254 CPT	$152	$83.60	$91.20 – $134	—
HC HEMOCHROMATOSIS DNA GENE ANALYSIS Inpatient	81256 CPT	$556	$306	$334 – $489	—
HC JAK2 V617F GENE MUTATION ANALYSIS Inpatient	81270 CPT	$779	$428	$467 – $686	—
HC KRAS MUTATION DETECTION BY IDYLLA, VARIANTS IN EXON 2 Inpatient	81275 CPT	$213	$117	$128 – $187	—
HC PROTHROMBIN FACTOR II GENE MUTATION ANALYSIS Inpatient	81240 CPT	$683	$376	$410 – $601	—
HC QUAL W REFLEX TO QUANT, BCR/ABL1 TRANSLOC ANLYS, MAJOR BREAKPT Inpatient	81206 CPT	$230	$127	$138 – $202	—
HC QUAL W REFLEX TO QUANT, BCR/ABL1 TRANSLOC ANLYS, MINOR BREAKPT Inpatient	81207 CPT	$265	$146	$159 – $233	—