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 |
|---|---|---|---|---|
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of knee joint CPT 27440 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of knee joint CPT 27441 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of knee joint CPT 27442 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of knee joint CPT 27443 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of knee joint CPT 27446 | not published | not published | $9,341.00 – $16,897.00 | 6 |
| Revision of knee joint CPT 27445 | not published | not published | $7,505.00 – $20,066.00 | 6 |
| Revision of larynx CPT 31400 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of lung CPT 32940 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of mitral valve CPT 33420 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of mitral valve CPT 33422 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of neck muscle CPT 21700 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of neck muscle CPT 21720 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of neck muscle CPT 21725 | not published | not published | $743.00 – $16,897.00 | 6 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Revision of nose CPT 30120 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of nose CPT 30430 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of nose CPT 30435 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revision of nose CPT 30450 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of nose CPT 30460 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Revision of nose CPT 30462 | not published | not published | $6,014.00 – $16,897.00 | 6 |
| Revision of pelvis CPT 27158 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of penis CPT 54300 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revision of penis CPT 54304 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of penis CPT 54420 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of penis CPT 54430 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Revision of penis CPT 54435 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of radius CPT 25350 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Revision of radius CPT 25355 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of scrotum CPT 55175 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Revision of scrotum CPT 55180 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of testis CPT 54660 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of toe CPT 28312 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of ulna CPT 25360 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revision of upper arm CPT 24940 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of ureter CPT 50700 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision of urethra CPT 53450 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Revision of urethra CPT 53460 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Revision of urethra CPT 57220 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision of urinary tract CPT 51820 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revision tips CPT 37183 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $4,935.00 – $20,066.00 | 6 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Rheumatoid factor qualitative CPT 86430 | $37.10 | $70.00 | $5.96 – $10.16 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $87.98 | $166.00 | $5.50 – $10.16 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rib cartilage graft CPT 21230 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Right heart cath congenital CPT 93530 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Right ventric recording CPT 93603 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| R & l heart cath congenital CPT 93531 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| R & l heart cath congenital CPT 93532 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| R & l heart cath congenital CPT 93533 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $743.00 – $16,897.00 | 6 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $949.00 – $16,897.00 | 6 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $949.00 – $16,897.00 | 6 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,302.00 – $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.