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) | |
|---|---|---|---|---|---|---|
| COMPLICATIONS OF TREATMENT WITH CC Inpatient | 920 MS-DRG | — | — | $7,016 – $29,532 | — | |
| gemcitabine 1 GM/26.3ML Solution 26.3 mL Vial Inpatient | J9201 HCPCS | $249 | $137 | $124 – $219 | — | |
| gemcitabine 38 mg/mL Solution 5.26 mL Vial Inpatient | J9201 HCPCS | $51.85 | $28.52 | $25.93 – $45.63 | — | |
| Gemcitabine HCl 2 GM/52.6ML Solution 52.6 mL Vial Inpatient | J9201 HCPCS | $459 | $252 | $229 – $404 | — | |
| goserelin 3.6 MG Implant 1 Each Syringe Inpatient | J9202 HCPCS | $2,748 | $1,511 | $1,374 – $2,418 | — | |
| HC COMPATIBILITY TEST SPIN Inpatient | 86920 CPT | $268 | $147 | $161 – $236 | — | |
| HC REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL, W/O GENERAL ANESTH Inpatient | 69200 CPT | $424 | $233 | $254 – $373 | — |