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 |
|---|---|---|---|---|
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $22.26 – $31.11 | 4 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $16.00 – $16.00 | 1 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $15.62 – $15.62 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Canthotomy 67715 CPT 67715 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Capsular contracture release CPT 23020 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Carbamazepine free CPT 80157 | not published | not published | $12.85 – $23.75 | 5 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $19.18 – $19.18 | 1 |
| Carbamazepine total therapeutic drug level CPT 80156 | $88.51 | $167.00 | $14.13 – $26.09 | 5 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $17.52 – $32.35 | 5 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.33 – $9.86 | 5 |
| Carbon dioxide CPT 82374 | $50.35 | $95.00 | $4.73 – $8.76 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $27.83 | $52.50 | $11.95 – $22.09 | 5 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Carcinoembryonic ag (cea) CPT 82378 | $73.67 | $139.00 | $18.39 – $33.99 | 5 |
| Cardioassist external CPT 92971 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Cardioassist internal CPT 92970 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Cardiolipin antibody iga CPT 86147 | $126.14 | $238.00 | $8.22 – $45.58 | 5 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $2,925.97 – $3,616.50 | 4 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | not published | not published | $1,898.00 – $16,897.00 | 6 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $1,898.00 – $16,897.00 | 6 |
| Carinal reconstruction CPT 31766 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $567.35 – $1,021.43 | 5 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $567.35 – $1,021.43 | 5 |
| Carotene CPT 82380 | not published | not published | $8.94 – $16.53 | 5 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cataract Surgery CPT 66984 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $24.29 – $30.81 | 5 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Catheter declot mechanical CPT 36596 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Catheter insert artery CPT 36625 | not published | not published | $949.00 – $16,897.00 | 6 |
| Catheter stripping venous CPT 36595 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $743.00 – $16,897.00 | 6 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $17.46 – $32.25 | 5 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $57.32 – $57.32 | 1 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $60.48 – $60.48 | 1 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $213.31 – $213.31 | 1 |
| Cdna analysis for variants CPT 81403 | not published | not published | $179.64 – $191.24 | 2 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $234.64 – $419.49 | 5 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $91.90 – $159.45 | 5 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $105.86 – $189.54 | 5 |
| Cell count body fluid CPT 89050 | $34.45 | $65.00 | $4.58 – $8.47 | 5 |
| Cell count w differential body fluid CPT 89051 | $65.19 | $123.00 | $5.43 – $9.87 | 5 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $9.88 – $18.10 | 5 |
| Cell enumeration & id CPT 86152 | not published | not published | $15.87 – $348.04 | 5 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $15.87 – $33.47 | 3 |
| Cell function assay w/stim CPT 86352 | not published | not published | $131.78 – $243.40 | 5 |
| Cell marker study CPT 88182 | not published | not published | $38.36 – $80.93 | 4 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| #cf-97variants CPT 81220 | not published | not published | $539.90 – $574.76 | 2 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $422.02 – $449.26 | 2 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $163.69 – $174.27 | 2 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $94.30 – $100.39 | 2 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $743.00 – $16,897.00 | 6 |
| Change cystostomy tube simple CPT 51705 | not published | not published | $743.00 – $16,897.00 | 6 |
| Change gastric port open CPT 43888 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Change nephroureteral cath CPT 50387 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $743.00 – $16,897.00 | 6 |
| Change stent via transureth CPT 50385 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $13.79 – $236.95 | 4 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $949.00 – $16,897.00 | 6 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $949.00 – $16,897.00 | 6 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $743.00 – $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.