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 |
|---|---|---|---|---|
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $949.00 – $16,897.00 | 6 |
| Limited autopsy CPT 88036 | not published | not published | $95.34 – $123.70 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $84.72 – $109.87 | 4 |
| Lipase CPT 83690 | $31.27 | $59.00 | $6.68 – $12.34 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $32.84 – $44.47 | 5 |
| Lipoprotein blood quant CPT 83704 | $143.63 | $271.00 | $33.16 – $56.52 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $48.23 | $91.00 | $7.94 – $14.66 | 5 |
| Lipoprotein direct measurement ldl CPT 83721 | $56.18 | $106.00 | $10.19 – $17.08 | 5 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $33.16 – $36.20 | 2 |
| Lip surgery procedure CPT 40799 | not published | not published | $949.00 – $16,897.00 | 6 |
| Listeria monocytogenes CPT 86723 | not published | not published | $8.22 – $23.63 | 5 |
| Lithium therapeutic drug level CPT 80178 | $29.15 | $55.00 | $6.41 – $11.84 | 5 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Liver Function Test CPT 80076 | $33.39 | $63.00 | $7.92 – $14.63 | 5 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Low back disk surgery CPT 63030 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.33 – $39.39 | 5 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Lung transplant double CPT 32853 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lung transplant single CPT 32851 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $743.00 – $16,897.00 | 6 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.45 – $35.92 | 5 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $35.46 – $101.15 | 5 |
| Lymphocyte transformation mitogen CPT 86353 | $86.92 | $164.00 | $47.56 – $87.83 | 5 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $73.88 – $183.82 | 5 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $46.16 – $85.25 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $743.00 – $16,897.00 | 6 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.43 – $8.21 | 4 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.14 – $7.65 | 5 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.18 – $7.65 | 5 |
| Magnesium CPT 83735 | $37.63 | $71.00 | $6.50 – $12.01 | 5 |
| Malaria antibody CPT 86750 | not published | not published | $12.79 – $23.63 | 5 |
| Male sling procedure CPT 53440 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $949.00 – $16,897.00 | 6 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Manipulation of spine CPT 22505 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $743.00 – $16,897.00 | 6 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.92 – $6.66 | 5 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $949.00 – $16,897.00 | 6 |
| Map tachycard site(s) CPT 93609 | not published | not published | $949.00 – $16,897.00 | 6 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Mastectomy partial CPT 19301 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Mast mod rad CPT 19307 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Mastoidectomy CPT 69501 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Mastoid surgery revision CPT 69603 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Mastopexy CPT 19316 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Mast radical CPT 19305 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Mast rad urban type CPT 19306 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Mast simple complete CPT 19303 | not published | not published | $5,978.00 – $16,897.00 | 6 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $34.04 – $62.88 | 5 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $26.47 – $35.92 | 5 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $41.55 – $76.75 | 5 |
| Maxillofacial fixation CPT 21100 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $10.60 | $20.00 | $14.03 – $25.91 | 5 |
| Mayo aathr protein s free CPT 85306 | $93.28 | $176.00 | $14.86 – $27.45 | 5 |
| Mayo activated protein c resistance assay CPT 85307 | $160.06 | $302.00 | $14.86 – $27.45 | 5 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $37.41 – $39.83 | 2 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $13.07 – $18.71 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $63.07 | $119.00 | $22.26 – $29.94 | 4 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $104.94 | $198.00 | $14.34 – $26.50 | 5 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $102.82 | $194.00 | $22.26 – $52.01 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $13.04 – $24.07 | 5 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $14.63 – $27.00 | 5 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $29.15 | $55.00 | $12.61 – $26.93 | 3 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $35.51 | $67.00 | $22.26 – $26.99 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $117.98 – $210.93 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $627.52 | $1,184.00 | $88.91 – $159.21 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $132.89 – $141.48 | 2 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,125.20 – $1,197.86 | 2 |
| Mayo androstenedione CPT 82157 | not published | not published | $28.40 – $52.45 | 5 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $14.16 – $26.15 | 5 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.49 – $19.36 | 5 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $34.45 | $65.00 | $8.22 – $26.98 | 5 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $29.93 – $41.11 | 5 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $27.56 | $52.00 | $19.45 – $24.45 | 4 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $8.22 – $18.23 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $140.49 – $251.55 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $208.18 – $279.36 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $29.15 | $55.00 | $8.22 – $23.12 | 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.