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Froedtert Community Hospital - Pewaukee prices. From its own published file.

Froedtert Community Hospital - Pewaukee in Pewaukee, WI publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

14,278prices published
Dec 2025file last updated
$2,396cash price for ct abdomen and pelvis with contrast (list $4,357)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$540$982$269–$1,752
Emergency visit, high (level 4)
99284
$673$1,223$413–$3,798
Emergency visit, highest (level 5)
99285
$951$1,729$595–$6,409
Comprehensive metabolic panel
80053
$115$209$10.56–$184
Basic metabolic panel
80048
$78.93$144$8.46–$126
Complete blood count (CBC)
85025
$64.63$118$7.77–$103
Blood draw (venipuncture)
36415
$14.03$35.50$9.09–$417
Urinalysis
81001
$33.55$61.00$3.17–$53.68
Troponin (heart test)
84484
$44.00$111$12.47–$125
EKG tracing
93005
$176$321$57.68–$282
Chest X-ray, 2 views
71046
$193$351$36.83–$435
CT head without contrast
70450
$1,131$2,056$103–$1,809
CT abdomen and pelvis with contrast
74177
$2,396$4,357$347–$3,834
MRI lower back without contrast
72148
——$235–$235
Ultrasound, abdomen
76700
$578$1,050$103–$924
IV push, single drug
96374
$134$244$97.60–$524
IV fluids, first hour
96360
$252$458$183–$524
Ketorolac injection, 15 mg
J1885
$21.42$56.45$0.29–$65.10
Ondansetron injection
J2405
$19.31$35.10$0.09–$30.89
Colonoscopy, diagnostic
45378
——$885–$3,995
Upper GI endoscopy with biopsy
43239
——$910–$3,995
Knee arthroscopy
29881
——$3,151–$8,806
Vaginal delivery, routine care
59400
——$2,102–$2,102
Cesarean delivery, routine care
59510
——$2,312–$2,312

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Froedtert Community Hospital - Pewaukee price transparency page.

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