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) | |
|---|---|---|---|---|---|---|
| brentuximab 5 mg/mL Recon Soln 1 Each Vial Inpatient | J9042 HCPCS | $50,035 | $27,519 | $25,018 – $44,031 | — | |
| cabazitaxel Solution 1.5 mL Vial Inpatient | J9043 HCPCS | $58,886 | $32,387 | $29,443 – $51,820 | — | |
| CARBOplatin 600 MG/60ML Solution 60 mL Vial Inpatient | J9045 HCPCS | $308 | $169 | $154 – $271 | — | |
| HC IMMUNIZATION ADMINISTRATION, EA ADDITIONAL VACCINE (ADD ON CODE) Inpatient | 90472 CPT | $39.00 | $21.45 | $23.40 – $34.32 | — | |
| HC IMMUNIZATION ADMINISTRATION, FIRST VACCINE Inpatient | 90471 CPT | $83.00 | $45.65 | $49.80 – $73.04 | — | |
| HC IMMZ ADMIN IM SARS-COV-2 VACC, SINGLE DOSE Inpatient | 90480 CPT | $67.00 | $36.85 | $40.20 – $58.96 | — | |
| HC RBC LEUKOREDUCED IRRADIATED Inpatient | P9040 HCPCS | $1,028 | $565 | $617 – $905 | — |