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 |
|---|---|---|---|---|
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Free skin flap microvasc CPT 15757 | not published | not published | $4,744.00 – $20,066.00 | 6 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Frenotomy 40806 CPT 40806 | not published | not published | $743.00 – $16,897.00 | 6 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Fresh frozen plasma thawing ea un CPT 86927 | $47.70 | $90.00 | $18.65 – $19.48 | 4 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $60.70 – $96.72 | 4 |
| Frozen blood prep CPT 86930 | not published | not published | $60.70 – $113.72 | 4 |
| Frozen blood thaw CPT 86931 | not published | not published | $60.70 – $85.37 | 4 |
| Frozen cell preparation CPT 88241 | not published | not published | $9.88 – $18.10 | 5 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $16.26 – $27.00 | 5 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,442.75 – $1,535.90 | 2 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $67.43 – $71.79 | 2 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $148.90 – $158.52 | 2 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $53.87 – $57.36 | 2 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $52.67 – $56.07 | 2 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $949.00 – $16,897.00 | 6 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse/graft added joint CPT 26863 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Fusion of big toe joint CPT 28755 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $949.00 – $16,897.00 | 6 |
| Fusion of finger joint CPT 26860 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fusion of finger tendons CPT 26471 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Fusion of foot bones CPT 28735 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Fusion of hand joint CPT 26843 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Fusion of knee CPT 27580 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $5,978.00 – $16,897.00 | 6 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Fusion of thumb CPT 26841 | not published | not published | $5,978.00 – $16,897.00 | 6 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Fusion of toes CPT 28280 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $266.59 – $283.80 | 2 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $132.89 – $141.48 | 2 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $266.59 – $283.80 | 2 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $179.64 – $191.24 | 2 |
| G6pc gene CPT 81250 | not published | not published | $56.74 – $60.39 | 2 |
| G6pd full gene sequence CPT 81249 | not published | not published | $582.00 – $619.58 | 2 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $169.57 – $180.51 | 2 |
| G6pd known familial variant CPT 81248 | not published | not published | $363.99 – $387.49 | 2 |
| Gabapentin non-blood CPT 80355 | not published | not published | $22.26 – $24.45 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $20.44 – $37.74 | 5 |
| Galactokinase - sendout CPT 82759 | not published | not published | $20.84 – $38.49 | 5 |
| Galactose transferase test CPT 82776 | not published | not published | $11.39 – $15.02 | 5 |
| Galectin-3 CPT 82777 | not published | not published | $22.23 – $42.92 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Gammaglobulin iga CPT 82784 | $8.48 | $16.00 | $9.02 – $16.67 | 5 |
| Gammaglobulin ige CPT 82785 | $127.20 | $240.00 | $15.97 – $29.51 | 5 |
| Gamma glutamyltransferase CPT 82977 | $37.63 | $71.00 | $6.98 – $12.90 | 5 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $34.04 – $62.88 | 5 |
| Gardner vag dna quant CPT 87512 | not published | not published | $40.51 – $74.79 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.51 – $9.76 | 5 |
| Gastric motility studies CPT 91020 | not published | not published | $949.00 – $16,897.00 | 6 |
| Gastrin test CPT 82938 | not published | not published | $17.16 – $31.70 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $949.00 – $16,897.00 | 6 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $743.00 – $16,897.00 | 6 |
| Gba gene CPT 81251 | not published | not published | $45.83 – $48.79 | 2 |
| General health panel CPT 80050 | not published | not published | $43.52 – $51.47 | 4 |
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.