Orthopaedic Hospital of Wisconsin
475 W River Woods Pkwy, Glendale, WI 53212 · 51 Priced Procedures · 92% Patient Recommendation
Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 1.20× fair market pricing.
Aligned Regional Benchmark Peer
Orthopaedic Hospital of Wisconsin prices shoppable and inpatient services (1.9× to 1.4× Medicare, divergence 0.74×) in alignment with regional hospital peers (1.20× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.21× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 2% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 92% patient recommendation (82/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
- Commercial insurance median sits at 1.46× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 2.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 12.7× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Orthopaedic Hospital of Wisconsin
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 51 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $22,143 | 0.7× |
| Total knee replacement CPT Code: 27447 | $15,995 | 1.2× |
| Total hip replacement CPT Code: 27130 | $15,494 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $13,315 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $13,222 | 0.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $12,084 | 0.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $8,571 | 1.4× |
| Bunion correction surgery CPT Code: 28296 | $8,322 | 2.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $8,172 | 2.4× |
| Breast lump removal CPT Code: 19120 | $6,737 | 1.7× |
| Inguinal hernia repair CPT Code: 49505 | $6,587 | 1.8× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,344 | 0.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $4,778 | 1.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,534 | 2.8× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,282 | 2.3× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,223 | 2.3× |
| Rabies immune globulin HCPCS Code: 90375 | $523 | 1.6× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $190 | 1.3× |
| Typhoid vaccine HCPCS Code: 90675 | $450 | 1.3× |
| Pneumococcal vaccine HCPCS Code: 90732 | $179 | 1.3× |
| Drug screening test HCPCS Code: G0480 | $121 | 1.0× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $28 | 1.5× |
| Blood test, vitamin D CPT Code: 82306 | $45 | 1.5× |
| Hepatitis B vaccine HCPCS Code: 90744 | $44 | 1.2× |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $5 | 1.7× |
Audit a Bill or Quote at Orthopaedic Hospital of Wisconsin (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Orthopaedic Hospital of Wisconsin's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($53,143) is $22,368 above the denoised Fair BaseRate ($30,775) and 2.3× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Orthopaedic Hospital of Wisconsin as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Orthopaedic Hospital of Wisconsin. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-05-15·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (285 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Orthopaedic Hospital of Wisconsin.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.