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 |
|---|---|---|---|---|
| Revise middle ear & mastoid CPT 69644 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Revise ocular implant CPT 65125 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revise ocular implant CPT 65150 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $5,978.00 – $20,066.00 | 6 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Revise penis/urethra CPT 54328 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revise penis/urethra CPT 54332 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revise penis/urethra CPT 54336 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise radius or ulna CPT 25370 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revise radius & ulna CPT 25365 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revise radius & ulna CPT 25375 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $9,341.00 – $16,897.00 | 6 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $9,341.00 – $16,897.00 | 6 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise/remove sling repair CPT 57287 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revise & repair chest wall CPT 32906 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise/replace knee joint CPT 27486 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise/replace knee joint CPT 27487 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise spine eltrd perq aray CPT 63663 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise temple bone implant CPT 69718 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Revise thumb tendon CPT 26490 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revise thumb tendon CPT 26496 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revise two eye muscles CPT 67312 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise two eye muscles CPT 67316 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revise ureter CPT 50727 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise ureter CPT 50728 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise urine flow CPT 50830 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise vag graft open abd CPT 57296 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revise windpipe scar CPT 31830 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revise wrist joint CPT 25332 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of amputation CPT 24935 | not published | not published | $8,256.00 – $16,897.00 | 6 |
| Revision of ankle joint CPT 27700 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of big toe CPT 28310 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of bladder neck CPT 52500 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of calf tendon CPT 27687 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of cervix CPT 57720 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of cervix CPT 59320 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of circulation CPT 37140 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Revision of circulation CPT 37145 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Revision of circulation CPT 37160 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Revision of circulation CPT 37180 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of collar bone CPT 23480 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of collar bone CPT 23485 | not published | not published | $8,256.00 – $16,897.00 | 6 |
| Revision of colostomy CPT 44340 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of cornea CPT 65600 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revision of eyelid CPT 67880 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of eyelid CPT 67882 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of eyelid CPT 67950 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of eyelid CPT 67961 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of eyelid CPT 67966 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of foot CPT 28116 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of foot and ankle CPT 28262 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of foot bones CPT 28737 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revision of foot tendon CPT 28238 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of heart chamber CPT 33476 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of heart chamber CPT 33735 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of heart chamber CPT 33736 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of heart chamber CPT 33737 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of heart chamber CPT 92992 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of hip bone CPT 27147 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of hip bones CPT 27156 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of hip tendon CPT 27097 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of infusion pump CPT 36261 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of iris CPT 66761 | not published | not published | $743.00 – $16,897.00 | 6 |
| Revision of iris CPT 66762 | not published | not published | $743.00 – $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.