How many shoppable procedure prices are published for Froedtert Community Hospital?

Froedtert Community Hospital in New Berlin, WI currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Froedtert Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Froedtert Community Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 16 Beds · urban Updated: 2025-12-31

Froedtert Community Hospital

4805 S Moorland Rd, New Berlin, WI 53151 · 128 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 63% of the Time

File Completeness100

Price Logic94

Peer Alignment74

Clean Billing83

Real Cash Discount100

Regional Value Leader

5-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Froedtert Community Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#11 of 99 in WI · 10th State Percentile#756 of 3,385 in U.S. · 22nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 84% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (0.4×) & laboratory (0.6×) services average 1.10× higher multiples than routine shoppable care (1.0×)
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 10.0× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.10× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+4% Upper Tail

Q25 0.84× · Q50 0.92× · Q75 0.96×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

63% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at Froedtert Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$44,903	$30,775	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$27,001	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$26,812	$19,432	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$24,506	$17,936	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$15,884	$8,223	1.9×
Total hip replacement CPT Code: `27130`	—	$12,494	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,494	$13,523	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,665	$6,109	0.9×
Breast lump removal CPT Code: `19120`	—	$3,718	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,427	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,151	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,151	$3,446	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,312	$2,975	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,215	$2,540	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,102	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	—	$1,285	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,145	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$988	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$910	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$885	$981	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$672	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,097	$532	$583	0.9×
Blood transfusion CPT Code: `36430`	$532	$425	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$387	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,396	$347	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$347	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$302	$231	1.3×
Rabies immune globulin HCPCS Code: `90375`	$5,013	$280	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$846	$235	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,061	$235	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	—	$235	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	—	$235	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	—	$235	$369	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,246	$173	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,695	$173	$258	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$147	$148	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$156	$166	0.9×
Family therapy session CPT Code: `90847`	—	$156	$173	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$125	$128	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$119	$123	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$134	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$156	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$156	$185	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	—	$119	$123	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$85	$87	1.0×
X-ray, pelvis CPT Code: `72170`	$232	$103	$110	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$103	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$154	$86	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$278	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$327	$86	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$193	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$268	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	$320	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	$360	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$269	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	$372	$103	$112	0.9×
Group therapy session CPT Code: `90853`	—	$90	$100	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$487	$103	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$561	$103	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$506	$103	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$578	$103	$134	0.8×
Care planning with family CPT Code: `90887`	—	$80	$107	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,131	$103	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,308	$103	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$1,266	$103	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$1,335	$103	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,412	$103	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,403	$103	$169	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$100	$100	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$655	$314	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$233	$203	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$119	$111	1.1×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$41	$35	1.2×
Blood antibody screen CPT Code: `86850`	$65	$52	$46	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	—	$73	$86	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$58	$38	$39	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$29	$45	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$45	$45	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$45	$45	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$176	$58	$64	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$115	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$26	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$122	$30	$31	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$100	$19	$20	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$30	$33	0.9×
Prosthetic fitting and training CPT Code: `97761`	$78	$39	$45	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$32	$37	0.9×
Orthotic fitting and training CPT Code: `97760`	$84	$44	$51	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$101	$41	$56	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$87	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$23	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$45	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$56	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$27	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$20	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$17	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$65	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$45	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$85	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$62	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$84	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$139	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$95	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$67	$10	$11	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$69	$34	$40	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$79	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$99	$8	$9	0.9×
Physical therapy (gait training) CPT Code: `97116`	$60	$28	$33	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$32	$38	0.8×
Blood test, amylase CPT Code: `82150`	$60	$6	$7	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$91	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$65	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$20	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$96	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$20	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$13	$25	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$11	$11	$25	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$28	$28	$86	unverified

Showing top 25 high-impact procedures of 128 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.0%

Audit a Bill or Quote at Froedtert Community Hospital (Zero PHI Required)

CMS CCN: 520213

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $44,903

1. Amount on Your Bill or Quote ($) Pre-filled with Froedtert Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $53,884 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $53,884

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $53,884).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Froedtert Community Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$76,992 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($107,767) is $76,992 above the denoised Fair BaseRate ($30,775) and 4.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 843381796

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (50.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait124 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (150 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Froedtert Community Hospital.

Price Index: 0.89× regional baseline

Quality: 83/100 CMS composite

Median Household Income$104,100U.S. Census ACS

Local Uninsured Share3.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 90/100 · Verified CMS CCN 520213 EIN 843381796

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 520213) ↗ Verify IRS Form 990 (EIN 843381796) ↗ CMS HCRIS Cost Reports ↗

Published MRF File843381796_froedtert-community-hospital-new-berlin_standardcharges.csv

Publication / Vintage2025-12-31 · 248.45 MB

Validated Rate Rows3,912 (CMS v3.0.0)

File Integrity Digest106143f40b11c3911064…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy