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 |
|---|---|---|---|---|
| Smear nasal eosinophil CPT 89190 | $21.73 | $41.00 | $5.62 – $8.51 | 5 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $5.81 – $10.75 | 5 |
| Smear wet mount CPT 87210 | not published | not published | $5.65 – $7.65 | 5 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $292.31 – $311.18 | 2 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $179.64 – $191.24 | 2 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $45.59 – $48.53 | 2 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $49.54 – $52.74 | 2 |
| Sodium 24 hour urine CPT 84300 | $22.26 | $42.00 | $4.91 – $8.72 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $28.09 | $53.00 | $4.67 – $8.61 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $949.00 – $20,066.00 | 6 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.18 – $4.50 | 5 |
| Specimen fat stain CPT 89125 | not published | not published | $5.70 – $7.74 | 5 |
| Sperm antibody test CPT 89325 | not published | not published | $10.35 – $19.12 | 5 |
| Sperm evaluation test CPT 89329 | not published | not published | $18.01 – $37.56 | 5 |
| Sperm identification CPT 89257 | not published | not published | $45.55 – $46.45 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $45.55 – $46.45 | 2 |
| Sperm isolation simple CPT 89260 | not published | not published | $45.55 – $46.45 | 2 |
| Sperm washing 58323 CPT 58323 | not published | not published | $743.00 – $16,897.00 | 6 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $949.00 – $20,066.00 | 6 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $4,754.00 – $20,066.00 | 6 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $743.00 – $16,897.00 | 6 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Splicing of ureters CPT 50770 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Split blood or products CPT 86985 | not published | not published | $18.65 – $25.16 | 4 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $949.00 – $16,897.00 | 6 |
| Sputum specimen collection CPT 89220 | not published | not published | $15.06 – $21.73 | 4 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Srs cran les complex addl CPT 61799 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Srs cran les simple addl CPT 61797 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $180.48 – $180.48 | 1 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Staph a dna amp probe CPT 87640 | not published | not published | $34.04 – $62.88 | 5 |
| Stem cells total count CPT 86367 | not published | not published | $53.30 – $75.45 | 5 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Sternal debridement CPT 21627 | not published | not published | $2,278.00 – $20,066.00 | 6 |
| Stimulants synthetic CPT 80371 | not published | not published | $22.26 – $31.11 | 4 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $70.43 – $71.82 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $70.43 – $71.82 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $70.43 – $71.82 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $70.43 – $71.82 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $743.00 – $16,897.00 | 6 |
| Strapping of chest CPT 29200 | not published | not published | $743.00 – $16,897.00 | 6 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $743.00 – $16,897.00 | 6 |
| Strapping of hand or finger CPT 29280 | not published | not published | $743.00 – $16,897.00 | 6 |
| Strapping of hip CPT 29520 | not published | not published | $743.00 – $16,897.00 | 6 |
| Strapping of knee CPT 29530 | not published | not published | $743.00 – $16,897.00 | 6 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $743.00 – $16,897.00 | 6 |
| Strep a ag ia CPT 87430 | not published | not published | $16.31 – $21.49 | 5 |
| Strep a dna dir probe CPT 87650 | not published | not published | $19.45 – $35.92 | 5 |
| Strep a dna quant CPT 87652 | not published | not published | $40.51 – $74.79 | 5 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.35 – $21.49 | 5 |
| Strep b dna amp probe CPT 87653 | not published | not published | $34.04 – $62.88 | 5 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.28 – $19.78 | 5 |
| Str markers spec anal addl CPT 81266 | not published | not published | $295.67 – $314.76 | 2 |
| Str markers specimen anal CPT 81265 | not published | not published | $226.08 – $373.50 | 5 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $743.00 – $16,897.00 | 6 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $743.00 – $16,897.00 | 6 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $743.00 – $16,897.00 | 6 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $949.00 – $16,897.00 | 6 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $5,037.00 – $16,897.00 | 6 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.18 – $20.65 | 5 |
| Sugars single quant CPT 84378 | not published | not published | $11.18 – $20.65 | 5 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $22.26 – $31.47 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surgical opening of stomach CPT 43510 | not published | not published | $743.00 – $16,897.00 | 6 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,302.00 – $20,066.00 | 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.