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 |
|---|---|---|---|---|
| Esoph balloon distension tst CPT 91040 | not published | not published | $949.00 – $16,897.00 | 6 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $949.00 – $16,897.00 | 6 |
| Esoph imped function test CPT 91037 | not published | not published | $949.00 – $16,897.00 | 6 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $949.00 – $16,897.00 | 6 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Essure 58565 CPT 58565 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Establish access to aorta CPT 36160 | not published | not published | $949.00 – $16,897.00 | 6 |
| Establish access to artery CPT 36100 | not published | not published | $949.00 – $16,897.00 | 6 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $949.00 – $16,897.00 | 6 |
| Estradiol total CPT 82670 | $102.29 | $193.00 | $27.10 – $50.05 | 5 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.05 – $38.87 | 5 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $7.98 – $26.68 | 5 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.16 – $15.06 | 5 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $7.87 – $17.74 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $91.01 – $115.39 | 5 |
| Evaluation heart device CPT 93640 | not published | not published | $949.00 – $16,897.00 | 6 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $743.00 – $16,897.00 | 6 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $743.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $743.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $743.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $743.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $743.00 – $16,897.00 | 6 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $743.00 – $16,897.00 | 6 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Exc excessive skin hip CPT 15834 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Exc excessive skin leg CPT 15833 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $4,744.00 – $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.