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 |
|---|---|---|---|---|
| Laps pelvic lymphadec CPT 38573 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $949.00 – $16,897.00 | 6 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $743.00 – $16,897.00 | 6 |
| Largsc w/ther injection CPT 31573 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $2,278.00 – $20,066.00 | 6 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $5,978.00 – $16,897.00 | 6 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $743.00 – $16,897.00 | 6 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $743.00 – $16,897.00 | 6 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laser surgery eye strands CPT 67031 | not published | not published | $743.00 – $16,897.00 | 6 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Laser surgery of prostate CPT 52647 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Laser surgery of prostate CPT 52648 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Laser treatment of retina CPT 67040 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Lateral canthopexy CPT 21282 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Lat retinacular release open CPT 27425 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Lead capillary CPT 83655 | $39.22 | $74.00 | $11.75 – $21.68 | 5 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $19.45 – $35.92 | 5 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $40.51 – $74.79 | 5 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Leishmania antibody CPT 86717 | not published | not published | $8.22 – $21.95 | 5 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Lengthening of palate CPT 42227 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Leukacyte transfusion CPT 86950 | not published | not published | $18.65 – $74.05 | 4 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.08 – $14.31 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $29.15 | $55.00 | $12.85 – $23.03 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $14.25 – $26.31 | 5 |
| Ligate esophagus veins CPT 43400 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ligation common iliac vein CPT 37660 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ligation major artery chest CPT 37616 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ligation major artery neck CPT 37615 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ligation of salivary duct CPT 42665 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ligation of shunt CPT 49428 | not published | not published | $1,104.00 – $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.