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 |
|---|---|---|---|---|
| Incision of urethra CPT 53020 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incision of urethra CPT 53025 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incision of vagus nerve CPT 64760 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incision of windpipe CPT 31601 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Incision of windpipe CPT 31610 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Incision of wrist capsule CPT 25085 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Incision secondary cataract CPT 66820 | not published | not published | $949.00 – $16,897.00 | 6 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incisn windpipe CPT 31600 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Induced abortion d&c CPT 59840 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $126.44 – $233.50 | 5 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $14.55 – $21.49 | 5 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $13.71 – $21.49 | 5 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $249.73 – $450.52 | 5 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $249.73 – $450.52 | 5 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $124.87 – $230.61 | 5 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $478.06 | $902.00 | $249.73 – $461.22 | 5 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $31.79 – $41.71 | 5 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $16.93 – $34.23 | 5 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $16.05 – $21.49 | 5 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.62 – $21.49 | 5 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $17.81 – $29.41 | 5 |
| Infect ag if influenza a CPT 87276 | not published | not published | $15.59 – $21.49 | 5 |
| Infect ag if influenza b CPT 87275 | not published | not published | $11.88 – $21.49 | 5 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $15.13 – $21.49 | 5 |
| Infect ag if nos ea CPT 87299 | not published | not published | $15.62 – $21.49 | 5 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.62 – $21.49 | 5 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.02 – $21.49 | 5 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $49.39 – $62.64 | 5 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $34.04 – $62.88 | 5 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $41.55 – $76.75 | 5 |
| Infect ag na hpv high-risk types CPT 87624 | $48.23 | $91.00 | $34.04 – $60.80 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $187.62 | $354.00 | $92.93 – $152.45 | 5 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $49.77 – $91.94 | 5 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $404.28 – $729.36 | 5 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $483.89 | $913.00 | $474.00 – $875.41 | 5 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $226.84 | $428.00 | $25.29 – $46.70 | 5 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $43.47 – $43.47 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $84.27 | $159.00 | $11.62 – $21.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.02 – $21.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $52.47 | $99.00 | $13.41 – $21.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $47.70 | $90.00 | $11.62 – $21.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $32.39 | $61.12 | $13.95 – $25.77 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $65.72 | $124.00 | $10.02 – $18.50 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $10.02 – $18.50 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | not published | not published | $23.36 – $43.43 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $52.87 | $99.75 | $11.62 – $21.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $11.62 – $21.49 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $47.70 | $90.00 | $11.62 – $21.49 | 5 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $131.44 | $248.00 | $34.04 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $161.12 | $304.00 | $34.04 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $108.65 | $205.00 | $36.15 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $404.28 – $727.84 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $131.44 | $248.00 | $34.04 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $104.41 | $197.00 | $34.04 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $155.82 | $294.00 | $40.43 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $161.12 | $304.00 | $34.04 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $95.40 | $180.00 | $53.67 – $53.67 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $149.44 – $149.44 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $149.44 – $149.44 | 1 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $34.04 – $62.88 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $34.04 – $60.94 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $404.28 – $722.07 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $124.44 – $222.26 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $255.10 – $369.77 | 5 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $59.71 | $112.66 | $41.55 – $76.75 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $133.30 | $251.50 | $41.55 – $76.75 | 5 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $637.06 | $1,202.00 | $41.55 – $76.75 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $274.54 | $518.00 | $82.55 – $152.45 | 5 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $138.35 – $224.50 | 5 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $28.34 – $37.20 | 5 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $41.01 – $41.01 | 1 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $22.50 – $31.82 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj dx for sinogram CPT 20501 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection eye drug CPT 67028 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection for hip x-ray CPT 27095 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $949.00 – $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.