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 pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $63.60 | $120.00 | $34.04 – $62.88 | 5 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $17.44 – $32.21 | 5 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $69.43 | $131.00 | $13.35 – $24.66 | 5 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $8.19 – $15.13 | 5 |
| Mayo pregnenolone CPT 84140 | not published | not published | $20.05 – $37.05 | 5 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $16.09 – $29.73 | 5 |
| Mayo proinsulin CPT 84206 | not published | not published | $25.16 – $31.91 | 5 |
| Mayo psaft prostate specific antigen free CPT 84154 | $70.49 | $133.00 | $17.84 – $32.96 | 5 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $17.85 – $24.20 | 5 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $12.96 – $23.93 | 5 |
| Mayo receptor assay transferrin soluble CPT 84238 | $174.90 | $330.00 | $35.47 – $65.51 | 5 |
| Mayo renin CPT 84244 | not published | not published | $21.33 – $39.40 | 5 |
| Mayo repu protein electrophoresis urine CPT 84166 | $73.67 | $139.00 | $17.83 – $31.94 | 5 |
| Mayo selenium CPT 84255 | not published | not published | $24.76 – $45.75 | 5 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.04 – $27.77 | 5 |
| Mayo serotonin CPT 84260 | not published | not published | $30.05 – $55.50 | 5 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $18.77 – $34.67 | 5 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $13.32 – $24.59 | 5 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $83.74 | $158.00 | $4.14 – $7.65 | 5 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $202.65 – $362.85 | 5 |
| Mayo tgrp testosterone free CPT 84402 | $188.68 | $356.00 | $24.71 – $45.63 | 5 |
| Mayo tgrp testosterone total CPT 84403 | $148.40 | $280.00 | $25.04 – $46.26 | 5 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $15.58 – $28.78 | 5 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $8.22 – $18.23 | 5 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $8.22 – $22.19 | 5 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $46.11 | $87.00 | $22.26 – $27.45 | 4 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $49.74 – $92.36 | 5 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $13.74 – $18.64 | 5 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.13 – $23.48 | 5 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $18.01 – $63.29 | 5 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $19.63 – $36.26 | 5 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $16.40 – $20.77 | 5 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.31 – $24.56 | 5 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $12.85 – $23.03 | 5 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Mcoln1 gene CPT 81290 | not published | not published | $38.13 – $40.60 | 2 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Measure kidney pressure CPT 50396 | not published | not published | $743.00 – $16,897.00 | 6 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $949.00 – $16,897.00 | 6 |
| Measure ureter pressure CPT 50686 | not published | not published | $743.00 – $16,897.00 | 6 |
| #mec-opiates CPT 80356 | $14.84 | $28.00 | $22.26 – $33.85 | 4 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $145.50 – $154.90 | 2 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $512.03 – $545.09 | 2 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $116.40 – $123.91 | 2 |
| Medial canthopexy CPT 21280 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $949.00 – $16,897.00 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $118.19 | $223.00 | $8.21 – $15.16 | 5 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $93.28 | $176.00 | $10.24 – $18.93 | 5 |
| Metabolic panel ionized ca CPT 80047 | $118.19 | $223.00 | $11.95 – $15.16 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $39.68 – $39.68 | 1 |
| Methylphenidate CPT 80360 | not published | not published | $22.26 – $27.45 | 4 |
| Metyrapone panel CPT 80436 | not published | not published | $88.43 – $163.34 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $86.18 – $120.90 | 5 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.28 – $8.20 | 5 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.65 – $38.96 | 5 |
| Microdissection laser CPT 88380 | not published | not published | $79.69 – $140.46 | 4 |
| Microdissection manual CPT 88381 | not published | not published | $95.28 – $143.85 | 4 |
| Microfluid analy tears CPT 83861 | not published | not published | $21.81 – $30.02 | 5 |
| Microsatellite instability CPT 81301 | not published | not published | $338.10 – $502.92 | 5 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $949.00 – $16,897.00 | 6 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,224.28 – $3,432.46 | 2 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Mlh1 gene CPT 81288 | not published | not published | $165.58 – $242.00 | 5 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $196.33 – $242.76 | 5 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $655.14 – $822.72 | 5 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $268.29 – $329.80 | 5 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $949.00 – $16,897.00 | 6 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $949.00 – $16,897.00 | 6 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $949.00 – $16,897.00 | 6 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $62.04 – $66.05 | 2 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $145.82 – $155.24 | 2 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $266.59 – $283.80 | 2 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $292.31 – $311.18 | 2 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $274.39 – $292.10 | 2 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $820.88 – $873.88 | 2 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,940.00 – $2,065.26 | 2 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $180.73 | $341.00 | $43.96 – $293.17 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $44.33 – $94.42 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $45.55 – $118.35 | 4 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $26.39 – $50.67 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $64.18 – $338.68 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | $204.58 | $386.00 | $32.26 – $73.85 | 4 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $45.55 – $82.15 | 4 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $154.69 – $154.69 | 1 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $19.45 – $35.92 | 5 |
| M.pneumon dna quant CPT 87582 | not published | not published | $59.00 – $293.54 | 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.