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 |
|---|---|---|---|---|
| Extraction of lens CPT 66940 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $949.00 – $16,897.00 | 6 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $949.00 – $16,897.00 | 6 |
| Eye suture during surgery CPT 67335 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $170.14 – $181.13 | 2 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $274.39 – $292.10 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $582.00 – $619.58 | 2 |
| Face bone graft CPT 21210 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Factor ix CPT 85250 | not published | not published | $18.47 – $34.12 | 5 |
| Factor viii CPT 85240 | $52.47 | $99.00 | $9.89 – $32.08 | 5 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Fancc gene CPT 81242 | not published | not published | $35.52 – $37.81 | 2 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fat/lipids feces qualitative CPT 82705 | $45.58 | $86.00 | $4.95 – $9.11 | 5 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.21 – $23.86 | 5 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.42 – $8.15 | 5 |
| #fecal-sodium CPT 84302 | not published | not published | $4.71 – $8.72 | 5 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $19.18 – $19.18 | 1 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ferritin CPT 82728 | $115.54 | $218.00 | $13.22 – $24.40 | 5 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $771.15 – $820.93 | 2 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $736.28 – $1,021.43 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $736.28 – $1,021.43 | 4 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fetal fibronectin CPT 82731 | not published | not published | $62.48 – $115.39 | 5 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | not published | not published | $7.50 – $13.87 | 5 |
| Fetal hemoglobin rosette CPT 85461 | not published | not published | $9.08 – $11.89 | 5 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $18.74 – $33.91 | 5 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fetal monitor w/report CPT 59050 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fetal non stress test CPT 59025 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $743.00 – $16,897.00 | 6 |
| #_fet/norfentcnfrmur CPT 80354 | $110.24 | $208.00 | $22.26 – $31.11 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $112.89 | $213.00 | $9.87 – $18.23 | 5 |
| Fibrin degradation products CPT 85362 | $77.91 | $147.00 | $6.68 – $12.34 | 5 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.43 – $12.77 | 5 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $9.87 – $18.23 | 5 |
| Fibrinogen activity CPT 85384 | $31.80 | $60.00 | $9.43 – $15.21 | 5 |
| Fibrinogen test CPT 85370 | not published | not published | $11.45 – $20.35 | 5 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $7.31 – $15.02 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.48 – $13.82 | 5 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.48 – $15.85 | 5 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $16.67 – $30.81 | 5 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $9.87 – $18.25 | 5 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $6.33 – $11.71 | 5 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $743.00 – $16,897.00 | 6 |
| Finger tendon transfer CPT 26497 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Finger tendon transfer CPT 26498 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $19.18 – $19.18 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $743.00 – $16,897.00 | 6 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $743.00 – $16,897.00 | 6 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Flow cytometry interp 16 or more CPT 88189 | $70.49 | $133.00 | $45.55 – $92.70 | 4 |
| Flow cytometry marker each additional CPT 88185 | $65.19 | $123.00 | $20.59 – $37.20 | 4 |
| Flow cytometry one marker technical component CPT 88184 | $59.89 | $113.00 | $21.31 – $62.35 | 4 |
| #flow interp 9 - 15 markers CPT 88188 | $70.49 | $133.00 | $45.55 – $75.25 | 4 |
| Flt3 gene CPT 81245 | not published | not published | $160.54 – $211.23 | 5 |
| Flt3 gene analysis CPT 81246 | not published | not published | $80.51 – $105.68 | 5 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fluorescent antibody titer dna CPT 86256 | $49.29 | $93.00 | $11.69 – $21.59 | 5 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.34 – $33.91 | 5 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $949.00 – $16,897.00 | 6 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.34 – $33.91 | 5 |
| Folic acid CPT 82746 | $108.65 | $205.00 | $14.26 – $26.34 | 5 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $529.88 – $687.74 | 4 |
| Forensic cytopathology CPT 88125 | not published | not published | $7.61 – $21.73 | 4 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $743.00 – $16,897.00 | 6 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $27.64 – $47.11 | 5 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $43.54 – $46.35 | 2 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $4,744.00 – $20,066.00 | 6 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Free jejunum flap microvasc CPT 43496 | 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.