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 |
|---|---|---|---|---|
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Amputation of lower leg CPT 27882 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Amylase CPT 82150 | $37.63 | $71.00 | $6.29 – $11.61 | 5 |
| Ana ds-dna CPT 86226 | not published | not published | $11.75 – $21.70 | 5 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $22.26 – $35.06 | 4 |
| Anal pressure record CPT 91122 | not published | not published | $949.00 – $16,897.00 | 6 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $949.00 – $16,897.00 | 6 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $949.00 – $16,897.00 | 6 |
| Analysis gene f2 20210g>a variant CPT 81240 | $261.29 | $493.00 | $63.72 – $85.47 | 5 |
| Analysis gene f5 leiden variant CPT 81241 | $261.29 | $493.00 | $71.17 – $106.13 | 5 |
| Analysis nerve CPT 88356 | not published | not published | $70.43 – $224.06 | 4 |
| Analysis tumor CPT 88358 | not published | not published | $42.33 – $49.43 | 4 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $14.60 – $26.98 | 5 |
| An cholangiogram percutaneous compl CPT 47531 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Androstanediol CPT 82154 | not published | not published | $27.97 – $51.64 | 5 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | not published | not published | $949.00 – $16,897.00 | 6 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Angiotensin ii CPT 82163 | not published | not published | $19.90 – $36.77 | 5 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | not published | not published | $949.00 – $16,897.00 | 6 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | not published | not published | $949.00 – $16,897.00 | 6 |
| Angio trnslmnl balloon same vein ini CPT 37248 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $743.00 – $16,897.00 | 6 |
| Anora (draw only) CPT 99001 | not published | not published | $9.75 – $9.94 | 2 |
| Anorectal myomectomy CPT 45108 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Anoscopy CPT 46611 | not published | not published | $743.00 – $16,897.00 | 6 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $743.00 – $16,897.00 | 6 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Antibody CPT 86744 | not published | not published | $8.22 – $23.63 | 5 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $8.22 – $23.09 | 5 |
| Antibody elution rbc reference CPT 86860 | $104.94 | $198.00 | $30.23 – $31.93 | 4 |
| Antibody htlv/hiv confirm test CPT 86689 | $101.76 | $192.00 | $18.77 – $34.67 | 5 |
| Antibody htlv-i CPT 86687 | not published | not published | $8.82 – $15.03 | 5 |
| Antibody htlv-ii CPT 86688 | not published | not published | $13.58 – $25.09 | 5 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $216.24 | $408.00 | $17.82 – $32.91 | 5 |
| Antibody id rbc panel CPT 86870 | $113.42 | $214.00 | $31.31 – $42.16 | 4 |
| Antibody influenza virus CPT 86710 | not published | not published | $13.14 – $24.29 | 5 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $8.22 – $23.05 | 5 |
| Antibody screen rbc CPT 86850 | $148.40 | $280.00 | $5.41 – $19.01 | 5 |
| Antibody tetanus CPT 86774 | not published | not published | $14.36 – $26.50 | 5 |
| Antidepressant not specified CPT 80338 | $177.55 | $335.00 | $12.37 – $12.37 | 1 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Antinuclear antibodies CPT 86038 | $72.08 | $136.00 | $11.73 – $21.65 | 5 |
| Antinuclear antibodies titer CPT 86039 | $132.50 | $250.00 | $10.83 – $20.00 | 5 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $8.22 – $28.78 | 5 |
| Antistreptolysin o screen CPT 86063 | $54.06 | $102.00 | $5.60 – $10.35 | 5 |
| Antistreptolysin o titer CPT 86060 | $59.89 | $113.00 | $7.08 – $13.07 | 5 |
| Antithrombin iii activity CPT 85300 | $160.06 | $302.00 | $11.49 – $21.24 | 5 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $488.88 – $520.44 | 2 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,309.68 – $1,394.24 | 2 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $949.00 – $16,897.00 | 6 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $194.00 – $206.52 | 2 |
| Apc gene full sequence CPT 81201 | not published | not published | $756.60 – $805.46 | 2 |
| Apc gene known fam variants CPT 81202 | not published | not published | $271.60 – $289.13 | 2 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Apheresis plasma CPT 36514 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Apheresis platelets CPT 36513 | not published | not published | $743.00 – $16,897.00 | 6 |
| Apheresis rbc CPT 36512 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Apheresis wbc CPT 36511 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $201.09 – $360.07 | 5 |
| Appendectomy CPT 44950 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $949.00 – $16,897.00 | 6 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $2,302.00 – $20,066.00 | 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.