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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| BCG vaccine 50 MG Recon Susp 1 Each Vial Inpatient | J9030 HCPCS | $860 | $473 | $430 – $757 | — | |
| bendamustine 5 mg/mL Recon Soln 0.5 mL Vial Inpatient | J9033 HCPCS | $4,805 | $2,643 | $2,402 – $4,228 | — | |
| bendamustine 5 mg/ml Recon Soln 1 Each Vial Inpatient | J9033 HCPCS | $12,799 | $7,039 | $6,399 – $11,263 | — | |
| bevacizumab 100 MG/4ML Solution 4 mL Vial Inpatient | J9035 HCPCS | $3,611 | $1,986 | $1,806 – $3,178 | — | |
| bevacizumab 400 MG/16ML Solution 16 mL Vial Inpatient | J9035 HCPCS | $13,727 | $7,550 | $6,864 – $12,080 | — | |
| HC CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX, ANY METHOD Inpatient | 30903 CPT | $698 | $384 | $419 – $614 | — | |
| HC PLT 7D, PLATELETS, PHERESIS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT Inpatient | P9037 HCPCS | $1,728 | $950 | $1,037 – $1,521 | — |