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 |
|---|---|---|---|---|
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $743.00 – $16,897.00 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $743.00 – $16,897.00 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $743.00 – $16,897.00 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $743.00 – $16,897.00 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $743.00 – $16,897.00 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $743.00 – $16,897.00 | 6 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $28.34 – $35.92 | 5 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $42.36 – $71.85 | 5 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Dexamethasone panel CPT 80420 | not published | not published | $101.79 – $157.02 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $88.51 | $167.00 | $21.56 – $39.84 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $87.45 | $165.00 | $9.42 – $17.39 | 5 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $743.00 – $16,897.00 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $743.00 – $16,897.00 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $743.00 – $16,897.00 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $949.00 – $16,897.00 | 6 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $949.00 – $16,897.00 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $73.67 | $139.00 | $12.88 – $23.80 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $949.00 – $16,897.00 | 6 |
| Dilate esophagus CPT 43453 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Dilate tear duct opening CPT 68801 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilate urethra stricture CPT 53600 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilation of urethra CPT 53661 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Disaccharidases CPT 82657 | not published | not published | $21.50 – $32.35 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dissect brain w/scope CPT 62161 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $2,183.00 – $20,066.00 | 6 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $22.26 – $26.99 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $145.35 – $270.63 | 5 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $266.59 – $283.80 | 2 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $132.89 – $141.48 | 2 |
| Dna antibody native/double stranded CPT 86225 | $68.37 | $129.00 | $13.33 – $24.61 | 5 |
| Dna gardnerella CPT 87510 | not published | not published | $19.45 – $35.92 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.07 – $35.92 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $26.07 – $35.92 | 5 |
| Dna trichomonas CPT 87660 | not published | not published | $19.45 – $35.92 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $949.00 – $16,897.00 | 6 |
| Double transfer toe-hand CPT 26554 | not published | not published | $2,183.00 – $20,066.00 | 6 |
| Dpyd gene common variants CPT 81232 | not published | not published | $169.57 – $180.51 | 2 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Drainage of bone lesion CPT 26992 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Drainage of bone lesion CPT 27303 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Drainage of eye CPT 65800 | not published | not published | $949.00 – $16,897.00 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of eye CPT 65815 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,104.00 – $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.