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 |
|---|---|---|---|---|
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $22.26 – $29.74 | 4 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $8.22 – $23.63 | 5 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.22 – $16.00 | 5 |
| Mayo c1 esterase inhibitor CPT 83883 | $47.17 | $89.00 | $13.19 – $24.36 | 5 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $27.56 | $52.00 | $22.26 – $31.11 | 4 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $16.36 – $30.23 | 5 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $25.98 – $47.95 | 5 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $118.55 – $212.28 | 5 |
| Mayo ceruloplasmin CPT 82390 | $80.03 | $151.00 | $10.42 – $19.24 | 5 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $13.70 – $25.31 | 5 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $24.38 | $46.00 | $8.22 – $23.09 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $8.22 – $21.19 | 5 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $8.22 – $22.74 | 5 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $70.37 – $208.71 | 5 |
| Mayo chromium CPT 82495 | $30.74 | $58.00 | $10.28 – $36.34 | 5 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $39.75 | $75.00 | $22.26 – $26.25 | 4 |
| Mayo coccidioides antibody CPT 86635 | $25.97 | $49.00 | $8.22 – $20.56 | 5 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $23.37 – $32.35 | 5 |
| Mayo cortisol free CPT 82530 | not published | not published | $16.21 – $29.94 | 5 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $44.15 – $44.15 | 1 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $8.22 – $21.72 | 5 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $48.76 | $92.00 | $22.35 – $34.30 | 3 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $14.84 | $28.00 | $15.45 – $15.45 | 1 |
| Mayo cyanide CPT 82600 | not published | not published | $18.82 – $34.76 | 5 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $57.18 – $572.52 | 4 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $12.85 – $23.74 | 5 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $172.78 | $326.00 | $24.51 – $45.27 | 5 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $28.40 – $33.60 | 2 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.35 – $15.19 | 5 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $4.85 – $8.76 | 5 |
| Mayo estriol CPT 82677 | $117.13 | $221.00 | $23.45 – $43.33 | 5 |
| Mayo estrone CPT 82679 | not published | not published | $24.20 – $44.71 | 5 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $15.85 – $29.28 | 5 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.32 – $23.85 | 5 |
| Mayo factor ii CPT 85210 | not published | not published | $8.22 – $23.25 | 5 |
| Mayo factor v CPT 85220 | not published | not published | $17.12 – $31.61 | 5 |
| Mayo factor vii CPT 85230 | not published | not published | $17.36 – $32.08 | 5 |
| Mayo factor viii vw factor antigen CPT 85246 | $42.40 | $80.00 | $22.25 – $41.11 | 5 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $113.95 | $215.00 | $22.25 – $41.11 | 5 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $113.95 | $215.00 | $22.25 – $41.11 | 5 |
| Mayo factor x CPT 85260 | not published | not published | $17.36 – $32.08 | 5 |
| Mayo factor xi CPT 85270 | not published | not published | $17.36 – $32.08 | 5 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.30 – $30.10 | 5 |
| Mayo fbl culture fungi blood CPT 87103 | not published | not published | $12.74 – $19.85 | 5 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $12.17 – $78.05 | 5 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $4.58 – $9.35 | 5 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $12.00 – $15.21 | 5 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $69.96 | $132.00 | $18.73 – $23.03 | 5 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $4.61 – $8.51 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | not published | not published | $34.04 – $62.88 | 5 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $34.04 – $62.88 | 5 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $28.09 | $53.00 | $13.38 – $22.40 | 5 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $115.01 | $217.00 | $25.04 – $46.23 | 5 |
| Mayo hvdip HIV 1 antibody CPT 86701 | not published | not published | $8.62 – $15.91 | 5 |
| Mayo hvdip HIV 2 antibody CPT 86702 | not published | not published | $13.11 – $24.23 | 5 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $99.64 | $188.00 | $26.35 – $48.67 | 5 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $57.77 | $109.00 | $16.75 – $23.19 | 5 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $7.95 | $15.00 | $14.54 – $26.86 | 5 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $69.96 | $132.00 | $20.19 – $37.29 | 5 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $20.19 – $37.29 | 5 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | not published | not published | $15.59 – $21.49 | 5 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | not published | not published | $11.62 – $21.49 | 5 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $184.44 | $348.00 | $34.04 – $62.88 | 5 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $34.04 – $36.23 | 2 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $34.04 – $62.88 | 5 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $63.60 | $120.00 | $41.55 – $76.75 | 5 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $70.02 – $74.54 | 2 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $37.41 – $39.83 | 2 |
| Mayo inhab inhibin a CPT 86336 | $60.95 | $115.00 | $15.12 – $27.92 | 5 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.56 – $23.21 | 5 |
| Mayo insulin antibodies CPT 86337 | not published | not published | $20.77 – $38.36 | 5 |
| Mayo iodine CPT 83789 | not published | not published | $23.39 – $32.35 | 5 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $27.89 – $27.89 | 1 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $26.30 – $28.00 | 2 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $69.96 | $132.00 | $12.85 – $23.03 | 5 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $12.41 – $22.93 | 5 |
| Mayo legionella antibody CPT 86713 | not published | not published | $14.84 – $27.41 | 5 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $8.22 – $23.63 | 5 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $10.92 – $20.17 | 5 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $118.72 | $224.00 | $15.03 – $27.75 | 5 |
| Mayo manganese CPT 83785 | not published | not published | $25.85 – $44.06 | 5 |
| Mayo metanephrines plasma CPT 83835 | $84.80 | $160.00 | $16.43 – $30.35 | 5 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $39.75 | $75.00 | $22.26 – $28.28 | 4 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $75.79 | $143.00 | $14.11 – $26.08 | 5 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | not published | not published | $18.08 – $24.53 | 5 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $132.89 – $141.48 | 2 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $190.57 – $190.57 | 1 |
| Mayo muramidase CPT 85549 | $91.16 | $172.00 | $18.19 – $33.61 | 5 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $17.51 – $31.36 | 5 |
| Mayo myoglobin CPT 83874 | $57.77 | $109.00 | $12.53 – $23.13 | 5 |
| Mayo nickel CPT 83885 | not published | not published | $23.77 – $43.90 | 5 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $14.84 | $28.00 | $22.26 – $44.54 | 4 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $22.26 – $37.96 | 4 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $41.34 | $78.00 | $22.26 – $33.85 | 4 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $82.15 | $155.00 | $20.57 – $29.48 | 5 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $15.96 – $29.48 | 5 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $14.02 – $23.06 | 5 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.18 – $20.68 | 5 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $74.73 | $141.00 | $14.58 – $26.94 | 5 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $55.65 | $105.00 | $11.69 – $21.59 | 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.