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.

16 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC A & TOTAL SERUM, B-HEXOSAMINIDASE, EACH ASSAY Inpatient	83080 CPT	$514	$283	$308 – $452	—
HC BONE AND/OR JOINT IMAGING, WHOLE BODY Inpatient	78306 CPT	$1,980	$1,089	$1,188 – $1,742	—
HC BONE HISTOMORPHOLOGY LEVEL V Inpatient	88307 CPT	$7,078	$3,893	$4,247 – $6,229	—
HC FREE PLASMA HEMOGLOBIN Inpatient	83051 CPT	$117	$64.35	$70.20 – $103	—
HC GONADOTROPIN (FSH) Inpatient	83001 CPT	$106	$58.30	$63.60 – $93.28	—
HC HAPTOGLOBIN QUANT ASSAY Inpatient	83010 CPT	$71.00	$39.05	$42.60 – $62.48	—
HC HEMOGLOBIN (A1C) GLYCOSYLATED Inpatient	83036 CPT	$74.00	$40.70	$44.40 – $65.12	—
HC HEMOGLOBIN (A1C) GLYCOSYLATED HPLC Inpatient	83036 CPT	$18.00	$9.90	$10.80 – $15.84	—
HC HEMOGLOBIN FRACTIONATION AND QUANTITATION, ELECTROPHORESIS II Inpatient	83020 CPT	$186	$102	$112 – $164	—
HC HISTAMINE BLOOD ASSAY Inpatient	83088 CPT	$188	$103	$113 – $165	—
HC HOMOCYSTEINE ASSAY Inpatient	83090 CPT	$95.00	$52.25	$57.00 – $83.60	—
HC HUMAN GROWTH HORMONE (SOMATOTROPIN) ASSAY Inpatient	83003 CPT	$142	$78.10	$85.20 – $125	—
HC IODINE URINE, HEAVY METAL, QUANT, EA, NES Inpatient	83018 CPT	$172	$94.60	$103 – $151	—
HC LEVEL IV SURG PATH GROSS & MICROSCOPIC EXAM Inpatient	88305 CPT	$600	$330	$360 – $528	—
HC MOLYBDENUM, HEAVY METAL, QUANTITATIVE, EACH, NES Inpatient	83018 CPT	$113	$61.88	$67.50 – $99.00	—
HC TITANIUM, HEAVY METAL, QUANTITATIVE, EACH, NES Inpatient	83018 CPT	$429	$236	$257 – $378	—