Supplies, drugs & other prices at Froedtert Holy Family Memorial Hospital
Manitowoc, WI · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $1,103.85 | $2,007 | 1.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $499.13 | $907.50 | 1.5× |
| Admin hepatitis b vaccine (G0010) | $42.90 | $78 | 0.9× |
| Admin influenza virus vac (G0008) | $28.60 | $52 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $42.90 | $78 | 0.9× |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,542.75 | $2,805 | 1.2× |
| Catheterize for urine spec (P9612) | $31.35 | $57 | 3.4× |
| Chemo extend iv infus w/pump (G0498) | $668.25 | $1,215 | 2.1× |
| Demonstrate use home inr mon (G0248) | $156.20 | $284 | 1.2× |
| Diab manage trn per indiv (G0108) | $134.75 | $245 | 2.4× |
| Diab manage trn ind/group (G0109) | $42.35 | $77 | 2.6× |
| Direct refer hospital observ (G0379) | $382.80 | $696 | 0.7× |
| Ekg tracing for initial prev (G0404) | $73.70 | $134 | 2.6× |
| Fecal blood scrn immunoassay (G0328) | $58.30 | $106 | 3.2× |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $1,586.75 | $2,885 | 3.9× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $158.95 | $289 | 3.7× |
| Intens cardiac rehab no exer (G0423) | $176 | $320 | 1.4× |
| Intens cardiac rehab w/exerc (G0422) | $176 | $320 | 1.4× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $326.70 | $594 | 1.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $326.70 | $594 | 1.0× |
| Oth resp proc, group (G0239) | $72.60 | $132 | 2.0× |
| Perc d-e cor revasc chro sin (C9607) | $21,503.35 | $39,097 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $17,683.05 | $32,151 | 1.6× |
| Perc d-e cor stent ather s (C9602) | $28,614.30 | $52,026 | 1.6× |
| Perc drug-el cor stent sing (C9600) | $17,682.50 | $32,150 | 1.6× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) | $70.40 | $128 | 1.9× |
| Prolonged iv inf, req pump (C8957) | $449.90 | $818 | 2.2× |
| Prostate biopsy, any mthd (G0416) | $221.10 | $402 | 0.6× |
| Psa screening (G0103) | $54.45 | $99 | 2.8× |
| Trauma respons w/hosp criti (G0390) | $1,290.30 | $2,346 | 1.0× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,933.43 | $5,333.50 | 0.8× |
| Trim nail(s) (G0127) | $76.45 | $139 | 1.3× |
| Trluml perip athrc abd aorta (0236T) | $13,448.05 | $24,451 | 1.2× |
| Trluml Perip Athrc Brchiocph (0237T) | $13,448.05 | $24,451 | 1.2× |
| Trluml Perip Athrc Iliac Art (0238T) | $13,448.05 | $24,451 | 0.8× |
| Tte w or w/o fol w/con,stres (C8928) | $1,052.70 | $1,914 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,540 | $2,800 | 2.0× |