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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CORONARY, STENT, NON-COATED/NON-COVERED, W/ DELIVERY SYSTEM Inpatient | C1876 HCPCS | $8,534 | $4,694 | $4,267 – $7,510 | — | |
| HC INFC AGNT DTCT BY NA, SARS-COV-2, AMP PRB Inpatient | 87635 CPT | $181 | $99.55 | $109 – $159 | — | |
| HC INFC AGT DTCT BY NA STAPHYLOCOCCUS AUREUS AMP PROBE Inpatient | 87640 CPT | $231 | $127 | $139 – $203 | — | |
| HC INFC AGT DTCT BY NA HPV HIGH-RISK TYPES Inpatient | 87626 CPT | $199 | $109 | $119 – $175 | — | |
| HC INFLUENZA/COVID-19 NUCLEIC ACID AMPLIFICATION TEST Inpatient | 87631 CPT | $419 | $230 | $251 – $369 | — |