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 |
|---|---|---|---|---|
| Surgical opening of throat CPT 42955 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $30.21 | $57.00 | $4.24 – $21.73 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $51.41 | $97.00 | $6.65 – $23.20 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $127.20 | $240.00 | $12.17 – $46.45 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $139.39 | $263.00 | $29.22 – $46.45 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $234.26 | $442.00 | $70.43 – $179.25 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $352.45 | $665.00 | $70.43 – $254.54 | 4 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | $20.14 | $38.00 | $4.61 – $8.51 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $11.13 | $21.00 | $4.61 – $8.51 | 5 |
| Susceptibility mic per plate CPT 87186 | $65.72 | $124.00 | $8.39 – $15.49 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | $111.83 | $211.00 | $6.44 – $11.89 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Suspension of testis CPT 54620 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Suspension of uterus CPT 58410 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.10 – $46.45 | 4 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $4.27 – $7.88 | 5 |
| T3 (triiodothyronine) free CPT 84481 | $116.07 | $219.00 | $16.43 – $30.35 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $70.49 | $133.00 | $13.75 – $25.40 | 5 |
| T4 (thyroxine) free CPT 84439 | $88.51 | $167.00 | $8.75 – $16.16 | 5 |
| T4 (thyroxine) total CPT 84436 | $34.45 | $65.00 | $6.66 – $12.31 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $20.15 | $38.01 | $13.32 – $24.59 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $949.00 – $16,897.00 | 6 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $949.00 – $16,897.00 | 6 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $112.16 – $736.74 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,832.01 – $3,014.86 | 2 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $112.16 – $621.76 | 5 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $743.00 – $16,897.00 | 6 |
| Tavr perq femoral CPT 33361 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $132.89 – $141.48 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $139.66 | $263.50 | $97.00 – $111.03 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $111.83 | $211.00 | $60.12 – $111.03 | 5 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $743.00 – $16,897.00 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $743.00 – $16,897.00 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $46.64 | $88.00 | $45.57 – $84.17 | 5 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $25.98 – $47.95 | 5 |
| T cells total count CPT 86359 | $188.15 | $355.00 | $36.60 – $67.58 | 5 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $4,812.00 – $16,897.00 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,117.00 – $16,897.00 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $179.64 – $191.24 | 2 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.83 – $10.76 | 5 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.65 – $7.66 | 5 |
| Test for urine cystines CPT 82615 | not published | not published | $9.26 – $14.62 | 5 |
| Testosterone response panel CPT 80414 | not published | not published | $50.09 – $92.50 | 5 |
| Test urine for lactose CPT 83633 | not published | not published | $7.77 – $10.91 | 5 |
| Test urine for porphyrins CPT 84119 | not published | not published | $12.17 – $15.43 | 5 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.34 – $5.81 | 5 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $132.89 – $141.48 | 2 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $70.43 – $71.82 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $70.43 – $71.82 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $70.43 – $71.82 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $70.43 – $71.82 | 2 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $743.00 – $16,897.00 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $98.58 | $186.00 | $13.72 – $25.34 | 5 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | not published | not published | $743.00 – $16,897.00 | 6 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,278.00 – $20,066.00 | 6 |
| Thoracic duct procedure CPT 38380 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracic duct procedure CPT 38381 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracic duct procedure CPT 38382 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,278.00 – $20,066.00 | 6 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Thoracoscopy remove segment CPT 32669 | 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.