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 |
|---|---|---|---|---|
| Ear irrigation 69209 CPT 69209 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.28 – $21.49 | 5 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| E equine encephalitis igg CPT 86652 | $24.38 | $46.00 | $8.22 – $23.63 | 5 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Egd guide wire insertion CPT 43248 | not published | not published | $743.00 – $16,897.00 | 6 |
| Egd injection varices CPT 43243 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Egd remove foreign body CPT 43247 | not published | not published | $743.00 – $16,897.00 | 6 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd varices ligation CPT 43244 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Egfr gene com variants CPT 81235 | not published | not published | $314.84 – $420.13 | 5 |
| Elbow arthroscopy CPT 29830 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $743.00 – $16,897.00 | 6 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $743.00 – $16,897.00 | 6 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $743.00 – $16,897.00 | 6 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $743.00 – $16,897.00 | 6 |
| Electroejaculation CPT 55870 | not published | not published | $743.00 – $16,897.00 | 6 |
| Electrogastrography CPT 91132 | not published | not published | $949.00 – $16,897.00 | 6 |
| Electrogastrography w/test CPT 91133 | not published | not published | $949.00 – $16,897.00 | 6 |
| Electrolyte panel CPT 80051 | $37.10 | $70.00 | $6.80 – $12.56 | 5 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $75.68 – $267.27 | 4 |
| Electrophysiologic study CPT 93624 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $949.00 – $16,897.00 | 6 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $949.00 – $16,897.00 | 6 |
| Electrophysiology evaluation CPT 93641 | not published | not published | $949.00 – $16,897.00 | 6 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $949.00 – $16,897.00 | 6 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $949.00 – $16,897.00 | 6 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Embryo hatching CPT 89253 | not published | not published | $70.43 – $71.82 | 2 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $743.00 – $16,897.00 | 6 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $949.00 – $16,897.00 | 6 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $743.00 – $16,897.00 | 6 |
| Encephalitis, california igg/igm CPT 86651 | $24.38 | $46.00 | $8.22 – $23.63 | 5 |
| Encephalitis, st louis igg/igm CPT 86653 | $24.38 | $46.00 | $8.22 – $23.63 | 5 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $8.22 – $23.63 | 5 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Endo assay seven anal CPT 81506 | not published | not published | $66.85 – $83.67 | 2 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $743.00 – $16,897.00 | 6 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $743.00 – $16,897.00 | 6 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $949.00 – $16,897.00 | 6 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $949.00 – $16,897.00 | 6 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $949.00 – $16,897.00 | 6 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $949.00 – $16,897.00 | 6 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $2,302.00 – $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.