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 |
|---|---|---|---|---|
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,375.10 – $2,528.45 | 2 |
| Genioplasty augmentation CPT 21120 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,267.52 – $2,413.93 | 2 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,880.26 – $5,195.35 | 2 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,628.65 – $2,798.36 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $55.65 | $105.00 | $15.89 – $29.37 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $949.00 – $16,897.00 | 6 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.52 – $13.76 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $16.60 – $28.79 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $99.19 – $105.60 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $115.54 | $218.00 | $13.96 – $25.78 | 5 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.68 – $8.06 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $34.04 – $62.88 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $8.22 – $27.25 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.70 – $6.61 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.77 – $12.50 | 5 |
| Ghs fish cytogen CPT 88271 | not published | not published | $20.46 – $38.37 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $49.65 – $71.94 | 5 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $34.04 – $62.88 | 5 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $9.06 – $30.83 | 5 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $202.99 | $383.00 | $15.03 – $27.75 | 5 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.19 – $15.16 | 5 |
| Ghs histoplasma antigen CPT 87385 | $110.24 | $208.00 | $12.85 – $21.49 | 5 |
| Ghs HIV antibody CPT 86703 | $51.41 | $97.00 | $13.30 – $24.57 | 5 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $90.97 – $115.35 | 5 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $17.83 – $40.16 | 5 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ghs inhibitor screen CPT 85335 | $83.74 | $158.00 | $12.48 – $23.06 | 5 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $743.00 – $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.