Midwest Orthopedic Specialty Hospital
10101 S. 27th St, Franklin, WI · Ascension · · NPI 1861635971
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 |
|---|---|---|---|---|
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $296.68 – $1,183.71 | 4 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $136.97 – $136.97 | 1 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $600.34 – $840.48 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $59.89 | $113.00 | $12.00 – $54.30 | 17 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $7,945.91 – $7,945.91 | 1 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $8,852.89 – $8,852.89 | 1 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $9,538.28 – $9,538.28 | 1 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $6,761.15 – $6,761.15 | 1 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $6,972.97 – $6,972.97 | 1 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $1,891.59 – $1,891.59 | 1 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $7,672.46 – $7,672.46 | 1 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $8,726.48 – $8,726.48 | 1 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $8,979.34 – $8,979.34 | 1 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $675.43 – $675.43 | 1 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $1,483.16 – $1,483.16 | 1 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $1,957.77 – $1,957.77 | 1 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $2,345.24 – $2,345.24 | 1 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $2,634.76 – $2,634.76 | 1 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $3,006.38 – $3,006.38 | 1 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $2,768.14 | 14 |
| Cadd pump refill CPT 96521 | not published | not published | $204.58 – $448.05 | 4 |
| Calcium 24 hour urine CPT 82340 | $27.03 | $51.00 | $6.03 – $27.15 | 17 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $12.92 | $24.39 | $0.04 – $10.24 | 6 |
| Calcium ionized CPT 82330 | $45.05 | $85.00 | $13.68 – $61.38 | 17 |
| Calcium total CPT 82310 | $19.08 | $36.00 | $5.16 – $23.60 | 17 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $57.86 | 17 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $51.92 | 17 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $14.65 – $212.70 | 4 |
| Calprotectin fecal CPT 83993 | $149.46 | $282.00 | $19.63 – $88.53 | 17 |
| Campylobacter antibody CPT 86625 | not published | not published | $9.63 – $30.83 | 17 |
| Candida dna CPT 87480 | not published | not published | $20.05 – $89.70 | 17 |
| Candida skin test CPT 86485 | not published | not published | $8.14 – $63.76 | 11 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $478.45 – $478.45 | 1 |
| Canthotomy 67715 CPT 67715 | not published | not published | $865.43 – $865.43 | 1 |
| Capsular contracture release CPT 23020 | not published | not published | $2,485.67 – $2,485.67 | 1 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,461.38 – $1,461.38 | 1 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $1,803.19 – $1,803.19 | 1 |
| Carbamazepine free CPT 80157 | not published | not published | $13.25 – $59.03 | 17 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $18.64 – $64.31 | 14 |
| Carbamazepine total therapeutic drug level CPT 80156 | $63.60 | $120.00 | $14.57 – $64.93 | 17 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $18.06 – $81.45 | 17 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $24.81 | 17 |
| Carbon dioxide CPT 82374 | $16.96 | $32.00 | $4.88 – $22.43 | 17 |
| Carboxyhemoglobin quantitative CPT 82375 | $39.75 | $75.00 | $12.32 – $55.48 | 17 |
| Carcinoembryonic ag (cea) CPT 82378 | $73.67 | $139.00 | $18.96 – $85.01 | 17 |
| Cardiac drug stress test CPT 93024 | not published | not published | $178.19 – $542.47 | 4 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $490.38 – $1,086.50 | 6 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $227.18 – $2,938.37 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $168.43 – $2,938.37 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,254.20 | $6,140.00 | $229.08 – $2,938.37 | 2 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | not published | not published | $83.20 – $171.16 | 4 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $54.03 – $171.16 | 4 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $129.20 – $848.52 | 5 |
| Cardiac Stress Test CPT 93015 | not published | not published | $250.00 – $250.00 | 1 |
| Cardioassist internal CPT 92970 | not published | not published | $619.96 – $619.96 | 1 |
| Cardiolipin antibody iga CPT 86147 | $35.51 | $67.00 | $9.63 – $59.81 | 17 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $725.57 | $1,369.00 | $635.42 – $889.59 | 4 |
| Cardioversion/elective/internal 92961 CPT 92961 | $1,519.51 | $2,867.00 | $635.42 – $889.59 | 4 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $42.23 – $836.00 | 2 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $50.62 – $172.11 | 4 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $25.00 – $86.05 | 4 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $2,639.46 | 16 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $2,639.46 | 16 |
| Carotene CPT 82380 | $33.92 | $64.00 | $9.22 – $41.33 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,061.06 | $2,002.00 | $133.69 – $328.59 | 4 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $246.09 – $246.09 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,562.20 – $1,562.20 | 1 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $38.11 – $185.71 | 4 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $76.06 – $76.06 | 1 |
| Car-t admn autologous CPT 38228 | not published | not published | $322.08 – $994.94 | 4 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $326.30 – $326.30 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $132.49 – $132.49 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $133.65 – $133.65 | 1 |
| Cataract Surgery CPT 66984 | not published | not published | $2,306.33 – $2,306.33 | 1 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,574.89 – $2,574.89 | 1 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.30 – $76.73 | 17 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $8,910.89 | $16,813.00 | $1,095.48 – $1,095.48 | 1 |
| Catheter declot mechanical CPT 36596 | $1,228.54 | $2,318.00 | $484.27 – $484.27 | 1 |
| Catheter insert artery CPT 36625 | not published | not published | $381.21 – $381.21 | 1 |
| Catheter stripping venous CPT 36595 | $2,086.08 | $3,936.00 | $2,124.98 – $2,124.98 | 1 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $236.16 – $479.83 | 4 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $330.63 – $330.63 | 1 |
| Cath left heart/lv gram CPT 93452 | $8,373.47 | $15,799.00 | $832.15 – $832.15 | 1 |
| Cath left heart transseptal punc CPT 93462 | $6,771.81 | $12,777.00 | $685.37 – $685.37 | 1 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $2,944.50 – $2,944.50 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $3,000.00 – $3,000.00 | 1 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $531.69 – $531.69 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $11,469.73 | $21,641.00 | $1,419.91 – $1,419.91 | 1 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $10,211.51 | $19,267.00 | $1,078.48 – $1,078.48 | 1 |
| Cath plc art/grft/angio right hrt CPT 93457 | $11,682.26 | $22,042.00 | $1,208.73 – $1,208.73 | 1 |
| Cath right heart w/o2 sat & card CPT 93451 | $5,778.06 | $10,902.00 | $474.23 – $474.23 | 1 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $2,873.63 – $2,873.63 | 1 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | not published | not published | $428.91 – $428.91 | 1 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $3,153.45 – $3,153.45 | 1 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $1,235.67 | $2,331.45 | $17.71 – $17.71 | 1 |
| Cath stripping venous s&i CPT 75901 | $202.99 | $383.00 | $81.56 – $204.00 | 2 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $192.94 – $286.54 | 4 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $474.23 – $474.23 | 1 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $80.28 | 17 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $715.22 | 14 |
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.