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 |
|---|---|---|---|---|
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $949.00 – $16,897.00 | 6 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | not published | $949.00 – $16,897.00 | 6 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $201.09 – $549.20 | 5 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $735.61 – $783.11 | 2 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $746.49 – $794.69 | 2 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $45.20 – $54.57 | 2 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $197.40 – $282.19 | 5 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $656.21 – $994.65 | 5 |
| Pms2 known familial variants CPT 81318 | not published | not published | $191.19 – $321.07 | 5 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $743.00 – $16,897.00 | 6 |
| #pnh-flow cytometry interp CPT 88187 | $70.49 | $133.00 | $13.79 – $58.93 | 4 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $128.79 | $243.00 | $25.29 – $34.65 | 5 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.19 – $17.18 | 5 |
| Positional change of finger CPT 26555 | not published | not published | $5,978.00 – $16,897.00 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $949.00 – $20,066.00 | 6 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $949.00 – $20,066.00 | 6 |
| Potassium 24 hour urine CPT 84133 | not published | not published | $4.59 – $7.70 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $27.03 | $51.00 | $4.62 – $8.23 | 5 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $132.89 – $141.48 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $949.00 – $16,897.00 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Pr application of long arm splint CPT 29105 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr application splint static short arm CPT 29125 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Pr correction hammertoe CPT 28285 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $743.00 – $16,897.00 | 6 |
| Prealbumin CPT 84134 | $27.03 | $51.00 | $7.89 – $26.12 | 5 |
| Pregabalin - sendout CPT 80366 | $136.74 | $258.00 | $22.26 – $27.45 | 4 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $14.60 – $26.98 | 5 |
| Preparation for bladder xray CPT 51605 | not published | not published | $949.00 – $16,897.00 | 6 |
| Preparation palate mold CPT 42280 | not published | not published | $743.00 – $16,897.00 | 6 |
| Prepare donor heart CPT 33944 | not published | not published | $2,278.00 – $20,066.00 | 6 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prepare donor intestine CPT 44715 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prepare donor lung double CPT 32856 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prepare donor lung single CPT 32855 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $70.43 – $71.82 | 2 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prepare penis study CPT 54230 | not published | not published | $949.00 – $16,897.00 | 6 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $949.00 – $16,897.00 | 6 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $949.00 – $16,897.00 | 6 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep donor liver/venous CPT 47146 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep donor liver whole CPT 47143 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep donor renal graft CPT 50325 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $949.00 – $16,897.00 | 6 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep renal graft/venous CPT 50327 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $743.00 – $16,897.00 | 6 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $949.00 – $16,897.00 | 6 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $949.00 – $16,897.00 | 6 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $33.55 – $61.89 | 4 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $31.31 – $34.01 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $18.65 – $39.68 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $18.65 – $28.34 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | $131.44 | $248.00 | $18.65 – $22.67 | 4 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $949.00 – $16,897.00 | 6 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $949.00 – $16,897.00 | 6 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $743.00 – $16,897.00 | 6 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $743.00 – $16,897.00 | 6 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Procalcitonin CPT 84145 | $98.58 | $186.00 | $26.40 – $47.98 | 5 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,549.00 – $16,897.00 | 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.