Orthopaedic Hospital of Wisconsin, LLC
475 W River Woods Pkwy, Glendale, WI · Ascension · · NPI 1669584983
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $28.40 – $52.45 | 5 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.13 – $40.89 | 5 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.42 – $22.94 | 5 |
| 2nd order venous cath CPT 36012 | not published | not published | $949.00 – $16,897.00 | 6 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $10.82 – $19.99 | 5 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $45.05 | $85.00 | $16.62 – $21.73 | 4 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $8.22 – $21.52 | 5 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $949.00 – $16,897.00 | 6 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $949.00 – $16,897.00 | 6 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $949.00 – $16,897.00 | 6 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $949.00 – $16,897.00 | 6 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $743.00 – $16,897.00 | 6 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,689.00 – $16,897.00 | 6 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $743.00 – $16,897.00 | 6 |
| Abl1 gene CPT 81170 | not published | not published | $291.00 – $419.49 | 5 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $949.00 – $16,897.00 | 6 |
| Abortion CPT 59850 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Abortion (mpr) CPT 59866 | not published | not published | $743.00 – $16,897.00 | 6 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $949.00 – $16,897.00 | 6 |
| Abrasion lesion single CPT 15786 | not published | not published | $743.00 – $16,897.00 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $949.00 – $16,897.00 | 6 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $949.00 – $16,897.00 | 6 |
| Acetaminophen level CPT 80143 | not published | not published | $19.18 – $19.18 | 1 |
| Acetone qualitative CPT 82009 | not published | not published | $4.38 – $8.09 | 5 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.92 – $20.01 | 5 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $949.00 – $16,897.00 | 6 |
| Acne surgery 10040 CPT 10040 | not published | not published | $743.00 – $16,897.00 | 6 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Acute hepatitis panel CPT 80074 | $608.44 | $1,148.00 | $46.20 – $85.31 | 5 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.36 – $30.23 | 5 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.00 – $24.84 | 5 |
| Adding walker to prev cast CPT 29440 | not published | not published | $743.00 – $16,897.00 | 6 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.62 – $21.49 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $8.22 – $23.05 | 5 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $16.93 – $21.49 | 5 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $4,744.00 – $20,066.00 | 6 |
| Adh-sendout CPT 84588 | not published | not published | $32.92 – $60.81 | 5 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $19.45 – $35.92 | 5 |
| #afb mycobacteria suscep. #1 CPT 87190 | $27.03 | $51.00 | $4.07 – $10.13 | 5 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $288.85 | $545.00 | $111.90 – $206.66 | 5 |
| After cataract laser surgery CPT 66821 | not published | not published | $743.00 – $16,897.00 | 6 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $949.00 – $16,897.00 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $7.31 – $9.27 | 5 |
| Albumin ischemia modified CPT 82045 | not published | not published | $32.92 – $60.81 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $96.99 | $183.00 | $5.61 – $10.36 | 5 |
| Albumin serum plasma or whole blood CPT 82040 | $28.09 | $53.00 | $4.80 – $8.86 | 5 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.77 – $17.77 | 1 |
| Alkaline phosphatase CPT 84075 | $25.44 | $48.00 | $5.02 – $9.27 | 5 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.39 – $22.87 | 2 |
| Allergen egg white ige CPT 86003 | $8.35 | $15.75 | $4.58 – $9.35 | 5 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.73 – $14.28 | 5 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $62.48 – $115.39 | 5 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $16.49 – $30.06 | 5 |
| Alpha-fetoprotein tumor marker CPT 82105 | $117.13 | $221.00 | $16.27 – $30.06 | 5 |
| Alt/sgpt CPT 84460 | $27.03 | $51.00 | $5.14 – $9.47 | 5 |
| Aluminum - quest CPT 82108 | not published | not published | $24.72 – $45.64 | 5 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $22.26 – $28.21 | 4 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.45 – $24.84 | 5 |
| Amino acid single qual CPT 82127 | not published | not published | $13.75 – $24.84 | 5 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.02 – $30.23 | 5 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $15.96 – $29.48 | 5 |
| Amitriptyline (elavil) -sendout CPT 80335 | $66.25 | $125.00 | $22.26 – $31.01 | 4 |
| Ammonia CPT 82140 | $69.96 | $132.00 | $14.13 – $26.11 | 5 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $743.00 – $16,897.00 | 6 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.07 – $12.31 | 5 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Amphetamine confirm urine -sendout CPT 80324 | $18.55 | $35.00 | $22.26 – $26.93 | 4 |
| Amphetamines 5 or more CPT 80326 | $48.76 | $92.00 | $8.95 – $26.93 | 3 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,549.00 – $16,897.00 | 6 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.