Froedtert Holy Family Memorial Hospital
Manitowoc, WI
Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,039.50 | $1,890 | 1.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,525.15 | $2,773 | 1.8× |
| CT head/brain without contrast (70450) | $1,019.70 | $1,854 | 10.0× |
| MRI brain without contrast (70551) | $1,375 | $2,500 | 5.9× |
| MRI brain with contrast (70552) | $1,925 | $3,500 | 5.7× |
| MRI brain without and with contrast (70553) | $2,475 | $4,500 | 7.3× |
| X-ray lower spine, 4+ views (72110) | $285.45 | $519 | 2.8× |
| MRI lumbar spine without contrast (72148) | $1,650 | $3,000 | 7.1× |
| CT pelvis with contrast (72193) | $1,699.50 | $3,090 | 9.9× |
| MRI lower-extremity joint without contrast (73721) | $2,420 | $4,400 | 10.4× |
| CT abdomen and pelvis with contrast (74177) | $1,926.10 | $3,502 | 5.7× |
| Ultrasound, abdomen complete (76700) | $487.85 | $887 | 4.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $666.05 | $1,211 | 6.5× |
| Ultrasound, transvaginal (76830) | $544.50 | $990 | 5.3× |
| Mammography, one breast (diagnostic) (77065) | $184.25 | $335 | 2.1× |
| Mammography, both breasts (diagnostic) (77066) | $320.65 | $583 | 2.9× |
| Mammography, screening (bilateral) (77067) | $264 | $480 | 2.9× |
| Basic metabolic panel (80048) | $41.25 | $75 | 4.9× |
| Comprehensive metabolic panel (80053) | $55 | $100 | 5.2× |
| Obstetric panel (80055) | $149.05 | $271 | 3.1× |
| Lipid panel (80061) range across 2 matching MRF lines |
$55–$74.25 | $100–$135 | varies |
| Renal function panel (80069) | $45.65 | $83 | 5.3× |
| Hepatic function panel (80076) | $39.60 | $72 | 4.8× |
| PSA, total (84153) | $57.20 | $104 | 3.1× |
| Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines |
$31.08–$73.70 | $56.50–$134 | varies |
| CBC with automated differential (85025) | $31.35 | $57 | 4.0× |
| CBC, automated (85027) | $20.35 | $37 | 3.1× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$16.50–$17.60 | $30–$32 | varies |
| Partial thromboplastin time (PTT) (85730) | $30.25 | $55 | 5.0× |
| Sleep study (attended polysomnography) (95810) | $2,889.70 | $5,254 | 3.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $104.50 | $190 | 3.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $311.85 | $567 | 2.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 300 codes with posted prices and Medicare benchmarks
- Lab & pathology: 735 codes with posted prices and Medicare benchmarks
- Visits & medical services: 173 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 413 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 37 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 300.2 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.