Supplies, drugs & other prices at Froedtert Memorial Lutheran Hospital
Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.
86 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,932.15 | $3,513 | 2.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $897.60 | $1,632 | 2.5× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $337.70 | $614 | 1.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $5,135.90 | $9,338 | 2.6× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $11,016.50 | $20,030 | 1.2× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $7,511.35 | $13,657 | 3.8× |
| Admin hepatitis b vaccine (G0010) | $61.60 | $112 | 1.3× |
| Admin influenza virus vac (G0008) | $28.60 | $52 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $52.80 | $96 | 1.1× |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,604.35 | $2,917 | 1.2× |
| Catheterize for urine spec (P9612) | $25.85 | $47 | 2.8× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $3,161.95 | $5,749 | 1.3× |
| Demonstrate use home inr mon (G0248) | $229.35 | $417 | 1.7× |
| Depression screen annual (G0444) | $32.45 | $59 | 0.9× |
| Diab manage trn per indiv (G0108) | $97.90 | $178 | 1.8× |
| Diab manage trn ind/group (G0109) | $42.35 | $77 | 2.6× |
| Direct refer hospital observ (G0379) | $817.30 | $1,486 | 1.4× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,696.20 | $3,084 | 1.4× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $32,333.95 | $58,789 | 0.7× |
| Evacuation meibomian glands using heat bilateral (0563T) range across 2 matching MRF lines |
$72.05–$307.45 | $131–$559 | varies |
| Fecal blood scrn immunoassay (G0328) | $106.70 | $194 | 5.9× |
| Fern test (Q0114) | $19.25 | $35 | 2.0× |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $1,583.45 | $2,879 | 3.9× |
| Group mnt 2 or more 30 mins (G0271) | $22 | $40 | 1.3× |
| Hbot, full body chamber, 30m (G0277) | $401.50 | $730 | 2.9× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) | $23,775.40 | $43,228 | 1.4× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $163.90 | $298 | 3.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $11,563.75 | $21,025 | 1.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $44,798.88 | $81,452.50 | 1.4× |
| Instill pharm renal pelvis (C9789) | $3,144.63 | $5,717.50 | 2.5× |
| Instlj fecal microbiota ssp (0780T) | $1,081.58 | $1,966.50 | 8.0× |
| Intens cardiac rehab no exer (G0423) | $248.60 | $452 | 1.9× |
| Intens cardiac rehab w/exerc (G0422) | $248.60 | $452 | 1.9× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $495.55 | $901 | 1.0× |
| Mnt subs tx for change dx (G0270) | $40.70 | $74 | 1.3× |
| Mri w/cont, breast, bi (C8906) | $3,133.90 | $5,698 | 8.9× |
| Mri w/cont, breast, uni (C8903) | $1,947.55 | $3,541 | 11.0× |
| Neuro csf prion prtn qual (0035U) | $503.25 | $915 | 0.9× |
| Non-ophthalmic fva (C9733) | $621.50 | $1,130 | 1.8× |
| Obtaining screen pap smear (Q0091) | $50.05 | $91 | 1.7× |
| 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) | $192.50 | $350 | 5.1× |
| Oth resp proc, indiv (G0238) | $73.15 | $133 | 2.5× |
| Pattern erg w/i&r (0509T) | $462 | $840 | 2.1× |
| Pemivibart infusion (M0224) | $622.33 | $1,131.50 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $16,110.60 | $29,292 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $14,885.20 | $27,064 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $17,127 | $31,140 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $15,472.05 | $28,131 | 1.3× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,996 | $12,720 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,373.40 | $11,588 | 0.9× |
| Ppps, initial visit (G0438) | $354.75 | $645 | 2.0× |
| Ppps, subseq visit (G0439) | $158.40 | $288 | 1.2× |
| Prolonged iv inf, req pump (C8957) | $458.70 | $834 | 2.1× |
| Psa screening (G0103) | $120.45 | $219 | 6.2× |
| Removal Ss Dfb Electrode (0573T) | $5,085.03 | $9,245.50 | 1.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $5,085.03 | $9,245.50 | 1.3× |
| Revasc intra lithotrip-stent (C9765) | $12,707.75 | $23,105 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $16,350.40 | $29,728 | 1.4× |
| Revasc lithotr-ather tib/per (C9774) | $25,463.90 | $46,298 | 1.4× |
| Revasc lithotr-stent tib/per (C9773) | $25,463.90 | $46,298 | 1.4× |
| Revasc lithotrip tibi/perone (C9772) | $19,618.50 | $35,670 | 1.7× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $5,085.03 | $9,245.50 | 1.3× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $31,363.48 | $57,024.50 | 1.4× |
| Sim ang w/prs cath rad emb (C8004) | $15,845.78 | $28,810.50 | 1.4× |
| Tc Auricular Nstimj Setup Calibration &Pt Educaj (0783T) | $864.05 | $1,571 | 6.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $26,647.78 | $48,450.50 | 1.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $26,647.78 | $48,450.50 | 1.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $9,428.10 | $17,142 | 1.6× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,862.85 | $3,387 | 2.3× |
| Therapeutic procd strg endur (G0237) | $84.15 | $153 | 2.9× |
| Therapeutic ultrafiltration (0692T) | $1,100 | $2,000 | 0.7× |
| Trauma respons w/hosp criti (G0390) | $6,514.75 | $11,845 | 4.8× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,933.43 | $5,333.50 | 0.8× |
| Trim nail(s) (G0127) | $103.68 | $188.50 | 1.7× |
| Tte w or w/o contr, cont ecg (C8930) | $2,659.25 | $4,835 | 3.4× |
| Tte w or w/o fol w/cont, com (C8921) | $1,631.30 | $2,966 | 2.1× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,217.15 | $2,213 | 1.5× |
| Tte w or wo fol wcon,doppler (C8929) | $2,039.40 | $3,708 | 2.6× |
| Unsched dialysis esrd pt hos (G0257) | $1,538.90 | $2,798 | 2.2× |
| US Ablat Uter Leiomyom <200 (0071T) | $4,078.80 | $7,416 | 1.2× |
| US Ablat Uter Leiomyom >200 (0072T) | $4,078.80 | $7,416 | 1.2× |
| Vasc emb/occ w/prs cath (C9797) | $25,090.45 | $45,619 | 1.4× |
| Visit to determ ldct elig (G0296) | $68.75 | $125 | 0.7× |
| Wet mounts/ w preparations (Q0111) | $41.80 | $76 | 2.3× |
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.