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 |
|---|---|---|---|---|
| Radical resection of elbow CPT 24149 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,278.00 – $20,066.00 | 6 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Rapid Strep Test CPT 87880 | $59.89 | $113.00 | $16.03 – $21.49 | 5 |
| Rbc count only automated CPT 85041 | $37.10 | $70.00 | $2.93 – $5.40 | 5 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $743.00 – $16,897.00 | 6 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.34 – $15.41 | 5 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.25 – $11.98 | 5 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $30.23 – $31.93 | 4 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Realignment of knee CPT 27457 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Realignment of knee CPT 27455 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Realignment of tendons CPT 26437 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Realignment of thigh bone CPT 27454 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling of artery CPT 35306 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling of artery CPT 35311 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Recipient nephrectomy CPT 50340 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,505.00 – $16,897.00 | 6 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Reconstruct extra finger CPT 26587 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Reconstruct finger joint CPT 26545 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Reconstruct finger joint CPT 26548 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Reconstruct head of radius CPT 24365 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruct head of radius CPT 24366 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Reconstruction knee CPT 27427 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruction knee CPT 27428 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Reconstruction knee CPT 27429 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Reconstruction of anus CPT 46753 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Reconstruction of jaw CPT 21245 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Reconstruction of jaw CPT 21246 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Reconstruction of jaw CPT 21248 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Reconstruction of jaw CPT 21249 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $6,014.00 – $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.