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 |
|---|---|---|---|---|
| Injection for spleen x-ray CPT 38200 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection into brain canal CPT 61026 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection into brain canal CPT 61055 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection into spinal artery CPT 62294 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection into vocal cord CPT 31513 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection intraop add-on CPT 48400 | not published | not published | $743.00 – $20,066.00 | 6 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection jugular CPT 36299 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Injection px peyronie ds CPT 54200 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $949.00 – $16,897.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Injection treatment of eye CPT 66030 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Injection treatment of nerve CPT 64681 | not published | not published | $743.00 – $16,897.00 | 6 |
| Injection treatment of nose CPT 30200 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inject/treat eye socket CPT 67500 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inject/treat eye socket CPT 67505 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inject/treat eye socket CPT 67515 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj for ext venography CPT 36005 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj proc for lymphang CPT 38790 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj proc sialogram CPT 42550 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $949.00 – $16,897.00 | 6 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inj w/fluor eval cv device CPT 36598 | not published | not published | $743.00 – $16,897.00 | 6 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ins device for right guide open CPT 49412 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insemination of oocytes CPT 89268 | not published | not published | $70.43 – $71.82 | 2 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $2,183.00 – $20,066.00 | 6 |
| Insert and remove bone pin CPT 20650 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insert ant drainage device CPT 66183 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Insert balloon device CPT 33973 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insert cath pleura with image CPT 32557 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Insert cath pleura without image CPT 32556 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Insert drug delivery implant CPT 11981 | not published | not published | $743.00 – $16,897.00 | 6 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insert eye socket implant CPT 67550 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Insert hepatic shunt (tips) CPT 37182 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $949.00 – $16,897.00 | 6 |
| Insert intracorporeal device CPT 33979 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $743.00 – $16,897.00 | 6 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insertion catheter bladder non indwelling CPT 51701 | not published | not published | $743.00 – $16,897.00 | 6 |
| Insertion catheter bladder temporary simple CPT 51702 | not published | not published | $743.00 – $16,897.00 | 6 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Insertion of cannula CPT 36810 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $4,744.00 – $20,066.00 | 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.