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 |
|---|---|---|---|---|
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | not published | not published | $743.00 – $16,897.00 | 6 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $949.00 – $20,066.00 | 6 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $949.00 – $16,897.00 | 6 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrodesis triple CPT 28715 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $949.00 – $16,897.00 | 6 |
| Artificial insemination CPT 58321 | not published | not published | $743.00 – $16,897.00 | 6 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $743.00 – $16,897.00 | 6 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Aspa gene CPT 81200 | not published | not published | $45.83 – $48.79 | 2 |
| Asp core fat pad CPT 17999 | not published | not published | $949.00 – $16,897.00 | 6 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $743.00 – $16,897.00 | 6 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $1,898.00 – $16,897.00 | 6 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | not published | not published | $743.00 – $16,897.00 | 6 |
| Aspirate pleura without imaging 32554 CPT 32554 | not published | not published | $743.00 – $16,897.00 | 6 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | not published | not published | $743.00 – $16,897.00 | 6 |
| Aspiration orbital contents CPT 67415 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $949.00 – $16,897.00 | 6 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | not published | not published | $743.00 – $16,897.00 | 6 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $743.00 – $16,897.00 | 6 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.41 – $13.23 | 5 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.01 – $13.07 | 5 |
| Assay blood catecholamines CPT 82383 | not published | not published | $28.21 – $44.89 | 5 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.03 – $36.99 | 5 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $28.75 – $28.75 | 1 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $6.98 – $13.45 | 5 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $21.97 – $40.57 | 5 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.15 – $13.20 | 5 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $47.96 – $60.81 | 5 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.03 – $46.21 | 5 |
| Assay of androsterone CPT 82160 | not published | not published | $24.78 – $44.80 | 5 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.37 – $20.86 | 5 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.01 – $12.34 | 5 |
| Assay of breath ethanol CPT 82075 | not published | not published | $17.03 – $29.10 | 5 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $17.52 – $37.28 | 5 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.29 – $22.70 | 5 |
| Assay of corticosterone CPT 82528 | not published | not published | $21.84 – $40.34 | 5 |
| Assay of digoxin free CPT 80163 | not published | not published | $12.88 – $23.00 | 5 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $69.09 – $93.76 | 5 |
| Assay of estrogen CPT 84233 | not published | not published | $85.24 – $115.39 | 5 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $25.45 – $42.26 | 5 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.63 – $13.63 | 5 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $35.99 – $45.64 | 5 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.30 – $22.35 | 5 |
| Assay of fluoride CPT 82735 | not published | not published | $17.98 – $33.22 | 5 |
| Assay of galactose CPT 82760 | not published | not published | $10.86 – $20.05 | 5 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $10.92 – $13.86 | 5 |
| Assay of glucosidase CPT 82963 | not published | not published | $20.84 – $38.49 | 5 |
| Assay of glutathione CPT 82978 | not published | not published | $14.99 – $25.54 | 5 |
| Assay of haptoglobins CPT 83012 | not published | not published | $24.29 – $30.81 | 5 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.58 – $15.85 | 5 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.23 – $28.50 | 5 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.52 – $16.42 | 5 |
| Assay of leflunomide CPT 80193 | not published | not published | $39.68 – $39.68 | 1 |
| Assay of lrh hormone CPT 83727 | not published | not published | $16.67 – $30.81 | 5 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.42 – $19.24 | 5 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.28 – $11.60 | 5 |
| Assay of osteocalcin CPT 83937 | not published | not published | $28.95 – $53.48 | 5 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.86 – $6.56 | 5 |
| Assay of pregnanediol CPT 84135 | not published | not published | $20.63 – $34.27 | 5 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $20.42 – $33.93 | 5 |
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.