Ascension Health · Glendale, WI
35
In-network payers
278
Disclosed rate categories
30
Beds
Orthopaedic Hospital Of Wisconsin is a 30-bed voluntary non-profit - other hospital in Glendale, WI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 278 disclosed rate categories.
CCN (Medicare provider number)
520194
NPI
1669584983
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
30
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Orthopaedic Hospital Of Wisconsin most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 470
$34,136 - $42,086
from 2 insurers · median $38,111
281 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$62,208 - $76,900
from 2 insurers · median $69,554
19 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 29881
$7,133 - $12,468
from 3 insurers · median $8,690
90 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 63030
$9,853 - $24,716
from 3 insurers · median $18,759
112 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$9,853 - $43,088
from 3 insurers · median $38,609
Typical for a hospital with this service line
CT imaging
CPT 74177
$3,085
negotiated rate
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$4,126 - $6,722
from 3 insurers · median $5,661
115 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Orthopedics and pain
CPT 29848
$2,740 - $7,293
from 3 insurers · median $7,133
117 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 29880
$7,133 - $9,156
from 3 insurers · median $8,721
90 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$3,017 - $11,523
from 3 insurers · median $9,853
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,605 - $8,049
from 3 insurers · median $2,925
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,831 - $8,275
from 3 insurers · median $5,661
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,187
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$9,853 - $17,237
from 3 insurers · median $12,066
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,376 - $7,812
from 3 insurers · median $2,605
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$3,852
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,605 - $8,689
from 3 insurers · median $2,925
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,417
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$9,853 - $24,287
from 3 insurers · median $12,066
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,998
negotiated rate
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$1,781
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,859 - $11,765
from 3 insurers · median $5,661
Typical for a hospital with this service line
Urology
CPT 50590
$9,853 - $13,796
from 3 insurers · median $11,270
Typical for a hospital with this service line
Gynecology
CPT 58662
$6,740 - $11,910
from 3 insurers · median $9,853
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 395% | 10 | 0 |
| Insurer B* | 18 | 213% | 16 | 1 |
| Insurer C* | 18 | 201% | 15 | 3 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Orthopaedic Hospital Of Wisconsin.
475 West River Woods Parkway, Glendale, WI 53212
(414) 961-6800
The nearest hospitals of similar type and size. Their rates are compared with Orthopaedic Hospital Of Wisconsin for the same insurers and services above.
The Orthopedic Hospital
▲ Rates typically 13% higher than Orthopaedic Hospital Of Wisconsin (18 services)
Indiana Orthopaedic Hospital Llc
▼ Rates typically 10% lower than Orthopaedic Hospital Of Wisconsin (5 services)
Straith Hospital For Special Surgery
▼ Rates typically 59% lower than Orthopaedic Hospital Of Wisconsin (24 services)
Southeast Michigan Surgical Hospital
▼ Rates typically 39% lower than Orthopaedic Hospital Of Wisconsin (23 services)
The Surgical Hospital At Southwoods
▼ Rates typically 52% lower than Orthopaedic Hospital Of Wisconsin (24 services)
Select Specialty Hospital - Boardman
Too few shared services to compare rates
St Marys Ozaukee
St Marys Milwauke
Ascension Wisconsin Hospital - Waukesha
Ne Wisconsin - St. Elizabeth Campus
About Orthopaedic Hospital Of Wisconsin's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Orthopaedic Hospital Of Wisconsin range from $3,852 to $3,852 across 1 insurers. Aetna's rate is $3,852. The median at nearby comparable hospitals is $938. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Orthopaedic Hospital Of Wisconsin range from $3,085 to $3,085 across 1 insurers. Aetna's rate is $3,085. The median at nearby comparable hospitals is $622. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Orthopaedic Hospital Of Wisconsin range from $2,605 to $8,049 across 3 insurers. Blue Cross Blue Shield's rate is $2,925. The median at nearby comparable hospitals is $1,380. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Orthopaedic Hospital Of Wisconsin range from $34,136 to $42,086 across 2 insurers. Blue Cross Blue Shield's rate is $42,086. The median at nearby comparable hospitals is $22,034. What a patient pays depends on their plan's deductible, coinsurance and network status.
Orthopaedic Hospital Of Wisconsin has 30 beds. Facility type: Short Term Acute Care Hospital.
Orthopaedic Hospital Of Wisconsin is located at 475 West River Woods Parkway, Glendale, WI 53212. Its main phone number is (414) 961-6800.
Orthopaedic Hospital Of Wisconsin's CMS Certification Number (CCN), also called its Medicare provider number, is 520194.
The National Provider Identifier (NPI) on file for Orthopaedic Hospital Of Wisconsin is 1669584983.
Orthopaedic Hospital Of Wisconsin is affiliated with Ascension Health.
Orthopaedic Hospital Of Wisconsin lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
278 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers