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 |
|---|---|---|---|---|
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of salivary gland CPT 42305 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of salivary gland CPT 42320 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drainage of throat abscess CPT 42725 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drain chest lesion CPT 21502 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drain lower leg bursa CPT 27604 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Drain penis lesion CPT 54015 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $949.00 – $16,897.00 | 6 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $949.00 – $16,897.00 | 6 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $743.00 – $16,897.00 | 6 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $949.00 – $16,897.00 | 6 |
| Drug assay caffeine CPT 80155 | not published | not published | $19.98 – $37.41 | 5 |
| Drug assay posaconazole CPT 80187 | not published | not published | $26.30 – $28.00 | 2 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.89 – $27.89 | 1 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $37.41 – $39.83 | 2 |
| Drug assay voriconazole CPT 80285 | not published | not published | $26.30 – $28.00 | 2 |
| Drug of abuse screen urine CPT 80305 | $14.84 | $28.00 | $12.22 – $19.04 | 5 |
| Drug screening tapentadol CPT 80372 | not published | not published | $22.26 – $27.45 | 4 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $25.51 – $31.36 | 5 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $22.26 – $31.47 | 4 |
| Drug test def 1-7 classes HCPCS G0480 | $95.40 | $180.00 | $99.81 – $121.49 | 4 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $16.63 – $25.40 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $107.06 | $202.00 | $60.28 – $101.60 | 5 |
| Drvvt confirm - quest CPT 85597 | $141.51 | $267.00 | $17.44 – $32.21 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $743.00 – $16,897.00 | 6 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Duodenal motility study CPT 91022 | not published | not published | $949.00 – $16,897.00 | 6 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $743.00 – $16,897.00 | 6 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ear and throat examination CPT 92502 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $2,183.00 – $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.