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 |
|---|---|---|---|---|
| Identify sperm tissue CPT 89264 | not published | not published | $70.43 – $71.82 | 2 |
| Idet 1 or more levels CPT 22527 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Idet single level CPT 22526 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Idh1 common variants CPT 81120 | not published | not published | $187.45 – $199.56 | 2 |
| Idh2 common variants CPT 81121 | not published | not published | $286.92 – $305.45 | 2 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ifnl3 gene CPT 81283 | not published | not published | $71.17 – $77.90 | 2 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $213.31 – $213.31 | 1 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $61.68 – $75.81 | 5 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $192.05 – $343.87 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $285.68 – $511.51 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $167.55 – $259.35 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $165.89 | $313.00 | $56.76 – $61.65 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $96.09 – $162.39 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $165.89 | $313.00 | $34.92 – $69.96 | 4 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $16.98 – $24.06 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $38.13 – $40.60 | 2 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Immune complex assay CPT 86332 | not published | not published | $23.64 – $43.67 | 5 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $122.43 | $231.00 | $20.19 – $37.29 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $149.46 | $282.00 | $20.19 – $37.29 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $22.50 – $35.15 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.62 – $21.46 | 5 |
| Immunodiffusion nes CPT 86329 | not published | not published | $13.63 – $25.16 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $29.02 – $40.65 | 5 |
| Immunofixation electrophoresis serum CPT 86334 | $130.38 | $246.00 | $17.83 – $40.03 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $43.58 – $87.32 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $161.65 | $305.00 | $35.65 – $56.85 | 4 |
| Immunoglobulin assay CPT 86023 | not published | not published | $12.09 – $22.32 | 5 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Implant brain electrodes CPT 61531 | not published | not published | $2,183.00 – $20,066.00 | 6 |
| Implant brain electrodes CPT 61533 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Implant cochlear device CPT 69930 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Implant eye drug system CPT 67027 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $743.00 – $16,897.00 | 6 |
| Implant nerve end CPT 64787 | not published | not published | $949.00 – $16,897.00 | 6 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Implant neuroelectrode CPT 61863 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant neurostim arrays CPT 61886 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $949.00 – $16,897.00 | 6 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Implant spine infusion pump CPT 62361 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Implant spine infusion pump CPT 62362 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implant ureter in bowel CPT 50800 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $949.00 – $16,897.00 | 6 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $743.00 – $16,897.00 | 6 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Incis addl spine segment CPT 22216 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,302.00 – $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.