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.

15 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ANTIBIOT PANEL, SUSCEPT STDY, ANTMICROB AGT, MICR/AGAR DILUT, PER PLT Inpatient	87186 CPT	$51.00	$28.05	$30.60 – $44.88	—
HC BLOOD FUNGUS CULTURE Inpatient	87103 CPT	$213	$117	$128 – $187	—
HC CULTR TYPING IMMUNOLOGIC METHOD E COLI 0157 H7 Inpatient	87147 CPT	$49.00	$26.95	$29.40 – $43.12	—
HC ERTA SUSCEPTIBILITY, STDY ANTIMICROBIAL AGENT MICRO/AGAR DILUT PER PLATE Inpatient	87186 CPT	$33.00	$18.15	$19.80 – $29.04	—
HC FUNGUS CULTURE ISOLATION & PRESUMPTIVE ID Inpatient	87102 CPT	$49.00	$26.95	$29.40 – $43.12	—
HC GM NEG FERMT, SUSCEPT STDY, ANTMICROB AGT, AGAR DILUT, PER AGNT Inpatient	87181 CPT	$53.00	$29.15	$31.80 – $46.64	—
HC GRAM NEG E, SUSCEPT STDY, ANTMICROB AGT, AGAR DILUT, PER AGNT Inpatient	87181 CPT	$53.00	$29.15	$31.80 – $46.64	—
HC HOMOGENIZATION, TISSUE, FOR CULTURE Inpatient	87176 CPT	$34.00	$18.70	$20.40 – $29.92	—
HC MYCOBACTERIAL CULTURE ISOLATN & PRESUMPTIVE ID Inpatient	87116 CPT	$119	$65.45	$71.40 – $105	—
HC MYCOBACTERIC ID_MALDI FOR ACID FAST BACILLI Inpatient	87118 CPT	$151	$83.05	$90.60 – $133	—
HC OVA AND PARASITES SMEARS Inpatient	87177 CPT	$76.00	$41.80	$45.60 – $66.88	—
HC PINWORM EXAM Inpatient	87172 CPT	$100	$55.00	$60.00 – $88.00	—
HC SALMONELLA, CULT, TYP, OTH THAN IMMUNFLUORES, PER ANTISERUM Inpatient	87147 CPT	$49.00	$26.95	$29.40 – $43.12	—
HC SUSCEPTB STDY ANTMCRB BETA LACTAMASE ENZYM DTCT Inpatient	87185 CPT	$40.00	$22.00	$24.00 – $35.20	—
HC SUSCEPTB STUDY ANTMCRB MACROBROTH FUNGL REF LAB Inpatient	87188 CPT	$315	$173	$189 – $277	—