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 |
|---|---|---|---|---|
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $949.00 – $16,897.00 | 6 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $949.00 – $16,897.00 | 6 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.51 – $28.63 | 5 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $201.24 – $360.32 | 5 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $252.97 – $452.94 | 5 |
| Chlamydia culture CPT 87110 | not published | not published | $19.01 – $35.09 | 5 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.62 – $21.49 | 5 |
| Chlamydia type CPT 87140 | $12.19 | $23.00 | $5.40 – $9.98 | 5 |
| Chloride CPT 82435 | $25.44 | $48.00 | $4.46 – $8.23 | 5 |
| Chloride 24 hour urine CPT 82436 | not published | not published | $5.58 – $9.00 | 5 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Cholesterol CPT 82465 | $25.44 | $48.00 | $4.22 – $7.81 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $134.62 | $254.00 | $12.99 – $24.00 | 5 |
| Cholinesterase CPT 82480 | not published | not published | $7.63 – $14.12 | 5 |
| Chorion biopsy CPT 59015 | not published | not published | $743.00 – $16,897.00 | 6 |
| Chrom analysis CPT 88273 | not published | not published | $33.77 – $57.55 | 5 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $8.22 – $37.83 | 5 |
| Chromatography CPT 83021 | not published | not published | $17.52 – $32.35 | 5 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.53 – $21.31 | 5 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $55.33 – $58.91 | 2 |
| Chromosome analys amniotic CPT 88269 | $235.85 | $445.00 | $168.45 – $297.96 | 5 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $167.97 – $310.25 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $346.62 | $654.00 | $121.73 – $223.30 | 5 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $167.97 – $266.70 | 5 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $145.78 – $269.24 | 5 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $249.72 – $316.63 | 5 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $167.97 – $310.25 | 5 |
| Chromosome analys placenta CPT 88267 | not published | not published | $182.91 – $322.07 | 5 |
| Chromosome banding study CPT 88283 | not published | not published | $66.54 – $122.89 | 5 |
| Chromosome count additional CPT 88285 | not published | not published | $26.10 – $34.04 | 5 |
| Chromosome karyotype study CPT 88280 | not published | not published | $32.47 – $44.96 | 5 |
| Chromosome study additional CPT 88289 | not published | not published | $33.40 – $61.69 | 5 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.09 – $22.33 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $48.53 – $61.55 | 5 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $743.00 – $16,897.00 | 6 |
| Circumcision (newborn) CPT 54150 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $319.62 – $419.49 | 5 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Claviculectomy total CPT 23125 | not published | not published | $2,302.00 – $16,897.00 | 6 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $743.00 – $16,897.00 | 6 |
| Clearance of airways CPT 31720 | not published | not published | $743.00 – $16,897.00 | 6 |
| Clearance of tear duct CPT 68530 | not published | not published | $743.00 – $16,897.00 | 6 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $949.00 – $16,897.00 | 6 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $743.00 – $20,066.00 | 6 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $949.00 – $16,897.00 | 6 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $2,183.00 – $16,897.00 | 6 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $743.00 – $16,897.00 | 6 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Close tear duct opening CPT 68760 | not published | not published | $743.00 – $16,897.00 | 6 |
| Close tear duct opening CPT 68761 | not published | not published | $743.00 – $16,897.00 | 6 |
| Close tear system fistula CPT 68770 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.52 – $21.49 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $2,302.00 – $20,066.00 | 6 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $743.00 – $16,897.00 | 6 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,549.00 – $16,897.00 | 6 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $1,898.00 – $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.