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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC MDS1, VOLTAGE-GATED CALCIUM CHANNEL AB, EA Inpatient | 86596 CPT | $67.00 | $36.85 | $40.20 – $58.96 | — | |
| HC PARANEOPLAS AUTAB, P/Q TYPE, VOLTAGE-GATED CALCIUM CHANNEL AB, EA Inpatient | 86596 CPT | $244 | $134 | $146 – $215 | — | |
| HC STREPTOCOCCUS PNEUMONIAE 23 SEROTYPES, MULTPLX IA, QUANT Inpatient | 86581 CPT | $135 | $73.98 | $80.70 – $118 | — | |
| HC STREPTOCOCCUS PNEUMONIAE 9 SEROTYPES, MULTPLX IA, QUANT Inpatient | 86581 CPT | $84.50 | $46.48 | $50.70 – $74.36 | — | |
| HC SYPHILIS TEST NON-TREP QUANT Inpatient | 86593 CPT | $38.00 | $20.90 | $22.80 – $33.44 | — | |
| HC SYPHILIS TEST NON-TREPONEMAL QUAL RPR Inpatient | 86592 CPT | $36.00 | $19.80 | $21.60 – $31.68 | — | |
| HC VDRL CSF, SYPHILIS TEST, NON-TREPONEMAL AB, QUAL Inpatient | 86592 CPT | $36.00 | $19.80 | $21.60 – $31.68 | — | |
| HC VOLTAGE GATED CALCIUM CHANNEL AB, EA Inpatient | 86596 CPT | $213 | $117 | $128 – $187 | — |