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 |
|---|---|---|---|---|
| Great toe with reduction 28495 CPT 28495 | not published | not published | $743.00 – $16,897.00 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $949.00 – $16,897.00 | 6 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.27 – $28.20 | 5 |
| Growth hormone panel CPT 80428 | not published | not published | $64.70 – $119.52 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $110.89 – $140.60 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $31.08 – $73.33 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| G-tube reposition CPT 43761 | not published | not published | $743.00 – $16,897.00 | 6 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $743.00 – $16,897.00 | 6 |
| Gum graft CPT 41870 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $743.00 – $16,897.00 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $743.00 – $16,897.00 | 6 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $743.00 – $16,897.00 | 6 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $8.49 – $8.66 | 2 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Haptoglobin quantitative CPT 83010 | $49.29 | $93.00 | $12.20 – $22.53 | 5 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $949.00 – $16,897.00 | 6 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $949.00 – $16,897.00 | 6 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $743.00 – $16,897.00 | 6 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $949.00 – $16,897.00 | 6 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $582.00 – $619.58 | 2 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $196.33 – $209.01 | 2 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $363.99 – $387.49 | 2 |
| Hbb full gene sequence CPT 81364 | not published | not published | $314.84 – $335.17 | 2 |
| Hbb gene com variants CPT 81361 | not published | not published | $169.57 – $180.51 | 2 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $196.33 – $209.01 | 2 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $363.99 – $387.49 | 2 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.42 – $17.39 | 5 |
| Hcg free betachain test CPT 84704 | not published | not published | $14.83 – $26.98 | 5 |
| Hcg qualitative CPT 84703 | $45.05 | $85.00 | $7.29 – $13.45 | 5 |
| Hcg quantitative CPT 84702 | $80.56 | $152.00 | $14.60 – $26.98 | 5 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $743.00 – $16,897.00 | 6 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $949.00 – $16,897.00 | 6 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $743.00 – $16,897.00 | 6 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $949.00 – $16,897.00 | 6 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $949.00 – $16,897.00 | 6 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $659.18 – $701.75 | 2 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,576.25 – $1,678.01 | 2 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.31 – $33.74 | 5 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.07 – $7.53 | 5 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.62 – $12.21 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | $122.43 | $231.00 | $8.22 – $25.99 | 5 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.94 – $14.66 | 5 |
| Hematocrit CPT 85014 | $29.15 | $55.00 | $2.30 – $4.24 | 5 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $949.00 – $16,897.00 | 6 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Hemoglobin CPT 85018 | $15.90 | $30.00 | $2.30 – $4.24 | 5 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.34 – $4.22 | 5 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $7.76 – $10.68 | 5 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.42 – $14.82 | 5 |
| Hemoglobin methemoglobin quantitative CPT 83050 | not published | not published | $4.14 – $13.12 | 5 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $12.94 – $17.91 | 5 |
| Hemoglobin plasma CPT 83051 | not published | not published | $4.91 – $13.10 | 5 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $8.73 – $12.34 | 5 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.83 – $7.08 | 5 |
| Hemolysin acid CPT 85475 | not published | not published | $8.60 – $15.89 | 5 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.51 – $14.69 | 5 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $11.75 – $21.70 | 5 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.36 – $28.39 | 5 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $743.00 – $16,897.00 | 6 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Heparin assay CPT 85520 | not published | not published | $12.70 – $23.47 | 5 |
| Heparin neutralization CPT 85525 | not published | not published | $11.48 – $21.22 | 5 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $12.70 – $25.40 | 5 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Hepatitis a antibody igm CPT 86709 | not published | not published | $10.92 – $20.17 | 5 |
| Hepatitis b core antibody igm CPT 86705 | $49.82 | $94.00 | $11.42 – $21.08 | 5 |
| Hepatitis b core antibody total CPT 86704 | $72.08 | $136.00 | $11.69 – $21.59 | 5 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $126.21 – $253.33 | 2 |
| Hepatitis b surface antibody CPT 86706 | $63.60 | $120.00 | $10.42 – $19.24 | 5 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $135.61 – $302.63 | 2 |
| Hepatitis c antibody CPT 86803 | $144.16 | $272.00 | $13.84 – $25.57 | 5 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $28.34 – $35.92 | 5 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $38.08 – $62.88 | 5 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $28.34 – $35.92 | 5 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $40.51 – $74.79 | 5 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $135.61 – $302.63 | 2 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $567.35 – $1,013.29 | 5 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $567.35 – $1,013.29 | 5 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $425.76 – $766.52 | 4 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $579.97 – $766.52 | 4 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $425.76 – $766.52 | 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.