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 |
|---|---|---|---|---|
| Assay of procainamide w/metab CPT 80192 | not published | not published | $16.25 – $30.00 | 5 |
| Assay of progesterone CPT 84234 | not published | not published | $62.93 – $116.22 | 5 |
| Assay of prostaglandin CPT 84150 | not published | not published | $35.26 – $44.71 | 5 |
| Assay of PSA complexed CPT 84152 | not published | not published | $17.84 – $32.96 | 5 |
| Assay of quinine CPT 84228 | not published | not published | $11.28 – $20.86 | 5 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.16 – $12.08 | 5 |
| Assay of salicylate CPT 80179 | not published | not published | $19.18 – $19.18 | 1 |
| Assay of semen fructose CPT 82757 | not published | not published | $8.81 – $31.07 | 5 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.04 – $24.07 | 5 |
| Assay of silica CPT 84285 | not published | not published | $24.45 – $42.19 | 5 |
| Assay of somatostatin CPT 84307 | not published | not published | $12.54 – $32.76 | 5 |
| Assay of thiocyanate CPT 84430 | not published | not published | $11.28 – $20.86 | 5 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.79 – $13.79 | 5 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.31 – $18.64 | 5 |
| Assay of urine sulfate CPT 84392 | not published | not published | $5.33 – $8.51 | 5 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.26 – $12.71 | 5 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.87 – $9.00 | 5 |
| Assay phosphatidylglycerol CPT 84081 | $133.56 | $252.00 | $16.02 – $29.60 | 5 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.41 – $18.50 | 5 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.16 – $12.34 | 5 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.15 – $35.38 | 5 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $949.00 – $16,897.00 | 6 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $19.08 | $36.00 | $4.14 – $7.65 | 5 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $949.00 – $16,897.00 | 6 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $70.43 – $71.82 | 2 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $70.43 – $71.82 | 2 |
| Ast/sgot CPT 84450 | $27.03 | $51.00 | $5.02 – $9.27 | 5 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Atomic absorption CPT 82190 | not published | not published | $15.42 – $26.71 | 5 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Attach ocular implant CPT 65140 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Augmentation of facial bones CPT 21208 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $949.00 – $16,897.00 | 6 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $608.33 – $815.43 | 4 |
| Autologous blood op salvage CPT 86891 | $301.57 | $569.00 | $18.65 – $136.40 | 4 |
| Autologous blood process CPT 86890 | $141.51 | $267.00 | $60.70 – $96.72 | 4 |
| Automated diff wbc count CPT 85004 | $60.95 | $115.00 | $6.28 – $11.60 | 5 |
| Av fistula revision CPT 36833 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Av fusion direct any site CPT 36821 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Avul nail plate addl CPT 11732 | not published | not published | $949.00 – $16,897.00 | 6 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $743.00 – $16,897.00 | 6 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,515.00 – $16,897.00 | 6 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $11.19 – $18.26 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $329.13 | $621.00 | $68.09 – $125.76 | 5 |
| Bactericidal level serum CPT 87197 | not published | not published | $14.57 – $26.92 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $34.04 – $62.88 | 5 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $949.00 – $16,897.00 | 6 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $34.04 – $62.88 | 5 |
| B cells total count CPT 86355 | not published | not published | $36.60 – $67.58 | 5 |
| Bckdhb gene CPT 81205 | not published | not published | $92.14 – $98.08 | 2 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $743.00 – $16,897.00 | 6 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $743.00 – $16,897.00 | 6 |
| #_benzodiazconfur CPT 80346 | $71.02 | $134.00 | $22.26 – $34.30 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $85.33 | $161.00 | $8.22 – $45.58 | 5 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $15.69 – $28.97 | 5 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.36 – $30.23 | 5 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $743.00 – $16,897.00 | 6 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $743.00 – $16,897.00 | 6 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $743.00 – $16,897.00 | 6 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $25.78 – $47.61 | 5 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $1,898.00 – $20,066.00 | 6 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Bilicheck CPT 88720 | not published | not published | $4.87 – $8.99 | 5 |
| Bilirubin direct CPT 82248 | $22.79 | $43.00 | $4.87 – $8.99 | 5 |
| Bilirubin total CPT 82247 | $29.68 | $56.00 | $4.87 – $8.99 | 5 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Biopsy abdominal mass CPT 49180 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Biopsy bone trocar/needle superficial CPT 20220 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $743.00 – $16,897.00 | 6 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $743.00 – $16,897.00 | 6 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $743.00 – $16,897.00 | 6 |
| Biopsy eye muscle CPT 67346 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Biopsy lower leg soft tissue CPT 27613 | 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.