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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $743.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $743.00 – $16,897.00 | 6 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy inject material CPT 52327 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cystourethro w/implant CPT 52441 | not published | not published | $949.00 – $16,897.00 | 6 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $41.11 – $62.37 | 5 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $35.78 – $47.95 | 5 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,125.20 – $1,197.86 | 2 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $873.00 – $929.37 | 2 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.62 – $21.49 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $37.63 | $71.00 | $13.96 – $25.78 | 5 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | not published | not published | $8.22 – $30.17 | 5 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.02 – $21.49 | 5 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $28.34 – $35.92 | 5 |
| Cyto/molecular report CPT 88291 | $67.31 | $127.00 | $32.17 – $37.20 | 4 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $24.61 – $38.27 | 5 |
| Cytopath c/v automated CPT 88147 | not published | not published | $14.92 – $49.04 | 5 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $14.92 – $26.81 | 5 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $14.92 – $27.23 | 5 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $8.47 – $14.21 | 5 |
| Cytopath c/v manual CPT 88150 | not published | not published | $14.67 – $18.93 | 5 |
| Cytopath c/v redo CPT 88153 | not published | not published | $14.92 – $23.31 | 5 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $22.35 – $36.29 | 5 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $19.04 – $43.74 | 4 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $113.42 | $214.00 | $27.35 – $46.45 | 4 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $25.81 – $47.46 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $19.65 – $36.29 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $103.88 | $196.00 | $21.31 – $39.14 | 4 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $21.31 – $44.46 | 4 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $7.44 – $28.44 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $86.39 | $163.00 | $17.72 – $21.73 | 4 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $142.04 | $268.00 | $45.55 – $80.06 | 4 |
| Cytopath smear other source CPT 88160 | not published | not published | $21.31 – $45.51 | 4 |
| Cytopath smear other source CPT 88162 | not published | not published | $41.54 – $59.15 | 4 |
| Cytopath smear oth prep screen & interp CPT 88161 | $66.78 | $126.00 | $21.31 – $39.49 | 4 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $14.67 – $18.93 | 5 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $14.67 – $18.93 | 5 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $14.92 – $40.95 | 5 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $14.67 – $18.93 | 5 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $55.92 – $76.29 | 5 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $28.79 – $53.17 | 5 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $70.43 – $495.11 | 4 |
| Dark field exam spec collj CPT 87164 | not published | not published | $12.62 – $19.38 | 5 |
| Dark field exam without collj CPT 87166 | not published | not published | $10.96 – $20.24 | 5 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $743.00 – $16,897.00 | 6 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dch glucoscan CPT 82948 | not published | not published | $4.48 – $5.67 | 5 |
| Dch validity tests CPT 81002 | $27.03 | $51.00 | $3.38 – $4.58 | 5 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $743.00 – $20,066.00 | 6 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $949.00 – $16,897.00 | 6 |
| Debridement bone <= 20 sq cm CPT 11044 | 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.