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 |
|---|---|---|---|---|
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.98 – $6.74 | 5 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $949.00 – $16,897.00 | 6 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $4,744.00 – $16,897.00 | 6 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Uric acid blood CPT 84550 | $31.27 | $59.00 | $4.38 – $8.09 | 5 |
| Uric acid urine CPT 84560 | not published | not published | $4.93 – $8.51 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.56 – $6.61 | 5 |
| Urinalysis microscopic only CPT 81015 | $23.32 | $44.00 | $2.96 – $5.45 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $24.38 | $46.00 | $2.10 – $3.88 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $36.04 | $68.00 | $3.07 – $5.67 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $27.03 | $51.00 | $2.18 – $4.02 | 5 |
| Urinary reflex study CPT 51792 | not published | not published | $949.00 – $16,897.00 | 6 |
| Urine Culture Test CPT 87086 | $95.93 | $181.00 | $7.83 – $14.46 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $949.00 – $16,897.00 | 6 |
| Urine pregnancy test CPT 81025 | $18.55 | $35.00 | $8.35 – $11.33 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.63 – $29.08 | 5 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $28.00 – $159.01 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $67.80 – $149.75 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $281.87 – $281.87 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $28.00 – $60.65 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $40.06 – $120.42 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $43.39 – $127.99 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $15.30 – $24.06 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.16 – $38.36 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $27.13 – $43.73 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $20.03 – $40.91 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.07 – $20.21 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $29.64 – $57.79 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $120.42 – $120.42 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $24.58 – $24.58 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.64 – $24.06 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $162.79 – $162.79 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $135.31 – $135.31 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $111.98 – $111.98 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $99.21 – $257.83 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $199.68 – $494.80 | 2 |
| Vaccine rabies im CPT 90675 | not published | not published | $285.33 – $615.33 | 2 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Vag hyst including t/o CPT 58262 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vaginal bx CPT 58999 | not published | not published | $949.00 – $16,897.00 | 6 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,104.00 – $20,066.00 | 6 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $63.60 | $120.00 | $13.13 – $24.26 | 5 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $2,278.00 – $16,897.00 | 6 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vancomycin peak therapeutic drug level CPT 80202 | $98.58 | $186.00 | $13.13 – $24.26 | 5 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $34.04 – $62.88 | 5 |
| Varicella zoster antibody igg CPT 86787 | $76.85 | $145.00 | $8.22 – $23.09 | 5 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $1,357.56 – $3,666.44 | 2 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $4,754.00 – $16,897.00 | 6 |
| Vasectomy CPT 55250 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $743.00 – $16,897.00 | 6 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Version cephalic external CPT 59412 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Very long chain fatty acids CPT 82726 | not published | not published | $19.16 – $32.35 | 5 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $1,549.00 – $20,066.00 | 6 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.53 – $17.14 | 5 |
| Virus isolation addl studies ea CPT 87253 | $18.55 | $35.00 | $19.59 – $36.18 | 5 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Visc & infraren abd 4+ prost CPT 34848 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Vitamin b-12 CPT 82607 | $69.96 | $132.00 | $14.63 – $27.00 | 5 |
| Vitamin D Test CPT 82306 | $104.94 | $198.00 | $28.71 – $53.03 | 5 |
| Vit for macular hole CPT 67042 | not published | not published | $1,104.00 – $16,897.00 | 6 |
| Vit for macular pucker CPT 67041 | 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.