Froedtert Holy Family Memorial Hospital prices. From its own published file.

Froedtert Holy Family Memorial Hospital in Manitowoc, 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.

14,324prices published

Dec 2025file last updated

$1,926cash price for ct abdomen and pelvis with contrast (list $3,502)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$605	$1,100	$263–$4,183
Emergency visit, high (level 4) `99284`	$601	$1,447	$361–$5,506
Emergency visit, highest (level 5) `99285`	$616	$1,810	$370–$6,052
Comprehensive metabolic panel `80053`	$55.00	$100	$10.56–$88.00
Basic metabolic panel `80048`	$41.25	$75.00	$8.46–$66.00
Complete blood count (CBC) `85025`	$31.35	$57.00	$7.77–$50.16
Blood draw (venipuncture) `36415`	$12.10	$22.00	$7.26–$22.73
Urinalysis `81001`	$18.15	$33.00	$3.17–$29.04
Troponin (heart test) `84484`	$53.90	$98.00	$12.47–$86.24
EKG tracing `93005`	$110	$200	$56.50–$251
Chest X-ray, 2 views `71046`	$134	$244	$39.06–$597
CT head without contrast `70450`	$1,020	$1,854	$101–$1,632
CT abdomen and pelvis with contrast `74177`	$1,926	$3,502	$340–$3,082
MRI lower back without contrast `72148`	$1,650	$3,000	$230–$2,640
Ultrasound, abdomen `76700`	$488	$887	$101–$781
IV push, single drug `96374`	$187	$340	$112–$709
IV fluids, first hour `96360`	$356	$648	$200–$709
Ketorolac injection, 15 mg `J1885`	$19.78	$36.81	$0.29–$33.16
Ondansetron injection `J2405`	$18.66	$58.93	$0.10–$73.88
Colonoscopy, diagnostic `45378`	—	—	$867–$6,312
Upper GI endoscopy with biopsy `43239`	—	—	$892–$6,312
Knee arthroscopy `29881`	—	—	$3,086–$13,918
Vaginal delivery, routine care `59400`	—	—	$2,102–$7,271
Cesarean delivery, routine care `59510`	—	—	$2,312–$7,271

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 Holy Family Memorial Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.