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 |
|---|---|---|---|---|
| Cdna analysis for variants CPT 81403 | $289.91 | $547.00 | $185.20 – $606.75 | 15 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $87.89 – $175.22 | 4 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $60.01 – $175.22 | 4 |
| Cebpa gene full sequence CPT 81218 | $331.78 | $626.00 | $241.90 – $841.25 | 17 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $3.73 | $7.04 | $0.75 – $2.47 | 11 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $13.12 | $24.75 | $1.48 – $4.26 | 10 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $2.42 | $4.56 | $0.55 – $1.37 | 10 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $6.79 | $12.81 | $2.32 – $5.76 | 10 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $411.96 | 17 |
| #celiac hla-dq8 CPT 81383 | $815.67 | $1,539.00 | $109.13 – $489.87 | 17 |
| Cell count body fluid CPT 89050 | not published | not published | $4.72 – $21.25 | 17 |
| Cell count w differential body fluid CPT 89051 | $47.17 | $89.00 | $5.60 – $24.81 | 17 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $11.57 – $32.84 | 17 |
| Cell enumeration & id CPT 86152 | not published | not published | $18.58 – $1,102.52 | 17 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $610.27 | 17 |
| Cell marker study CPT 88182 | $125.61 | $237.00 | $51.88 – $223.44 | 11 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $2,945.25 – $2,945.25 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $869.84 – $869.84 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,144.29 – $1,144.29 | 1 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $94.98 – $1,101.15 | 5 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $4,923.34 – $4,923.34 | 1 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $3,284.04 – $3,284.04 | 1 |
| #cf-97variants CPT 81220 | $118.19 | $223.00 | $106.88 – $1,824.96 | 15 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $435.07 – $1,427.15 | 14 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $553.63 | 14 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $318.72 | 14 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $466.14 – $907.38 | 4 |
| Change cystostomy tube simple CPT 51705 | $188.15 | $355.00 | $236.16 – $330.62 | 4 |
| Change gastric port open CPT 43888 | not published | not published | $1,652.76 – $1,652.76 | 1 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $3,630.11 – $3,630.11 | 1 |
| Change nephroureteral cath CPT 50387 | $1,340.37 | $2,529.00 | $1,976.27 – $1,976.27 | 1 |
| Change of ureter tube/stent CPT 50688 | $2,098.27 | $3,959.00 | $293.77 – $293.77 | 1 |
| Change of windpipe airway 31502 CPT 31502 | $126.14 | $238.00 | $128.65 – $315.69 | 4 |
| Change stent via transureth CPT 50385 | not published | not published | $4,143.43 – $4,143.43 | 1 |
| Change ureter stent percut CPT 50382 | not published | not published | $4,309.31 – $4,309.31 | 1 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $16.15 – $894.90 | 11 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $192.94 – $466.25 | 4 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $387.95 – $1,670.14 | 4 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $387.95 – $1,783.20 | 4 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $594.39 – $1,602.63 | 4 |
| Chemo adm cns w/lmbr punct CPT 96450 | $696.95 | $1,315.00 | $322.08 – $599.49 | 4 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $672.45 – $941.43 | 4 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $333.31 – $333.31 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $409.82 – $409.82 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $583.33 – $941.43 | 4 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $507.80 – $941.43 | 4 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,031.68 – $1,031.68 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $286.64 – $473.52 | 4 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $290.27 – $876.89 | 4 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $286.64 – $401.30 | 4 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $279.49 – $401.30 | 4 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $286.64 – $507.24 | 4 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $286.64 – $444.69 | 4 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $286.64 – $412.20 | 4 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $538.54 – $941.43 | 4 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $633.99 – $941.43 | 4 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $44.80 – $255.65 | 4 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $322.08 – $551.11 | 4 |
| Chemo ia push tecnique CPT 96420 | $462.69 | $873.00 | $322.08 – $450.91 | 4 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $204.58 – $384.74 | 4 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $69.11 – $271.32 | 4 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $72.00 | 17 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $322.08 – $450.91 | 4 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $322.08 – $647.67 | 4 |
| Chest 2 vws w oblique CPT 71048 | $202.99 | $383.00 | $55.54 – $245.18 | 6 |
| Chest apical lordotic proj CPT 71047 | $187.09 | $353.00 | $48.24 – $204.00 | 6 |
| Chest CT scan (with and without contrast) CPT 71270 | $858.60 | $1,620.00 | $172.86 – $724.00 | 6 |
| Chest CT scan (with contrast) CPT 71260 | $850.12 | $1,604.00 | $172.86 – $724.00 | 6 |
| Chest CT scan (without contrast) CPT 71250 | $841.64 | $1,588.00 | $103.26 – $724.00 | 6 |
| Chest X-ray CPT 71046 | $171.19 | $323.00 | $37.34 – $204.00 | 6 |
| Chest X-ray (single view) CPT 71045 | $115.54 | $218.00 | $31.21 – $204.00 | 6 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $57.68 – $253.61 | 4 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $270.83 | $511.00 | $119.30 – $401.74 | 5 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $931.36 | 17 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $1,171.00 | 17 |
| Chlamydia culture CPT 87110 | $63.60 | $120.00 | $19.60 – $87.35 | 17 |
| Chlamydia trachomatis ag if CPT 87270 | $56.18 | $106.00 | $11.98 – $54.30 | 17 |
| Chlamydia type CPT 87140 | $34.45 | $65.00 | $5.57 – $21.42 | 17 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $35.60 – $204.00 | 2 |
| Chloride CPT 82435 | $16.43 | $31.00 | $4.60 – $20.08 | 17 |
| Chloride 24 hour urine CPT 82436 | $24.38 | $46.00 | $5.75 – $22.43 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $47.85 | $90.29 | $0.04 – $37.92 | 7 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $322.08 – $2,787.76 | 4 |
| Cholangiogram percutaneous compl CPT 47532 | $2,341.01 | $4,417.00 | $2,967.40 – $2,967.40 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $61.93 – $204.00 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $4,572.27 – $4,572.27 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $4,045.74 – $4,045.74 | 1 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $4,140.11 – $4,140.11 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,341.01 | $4,417.00 | $1,229.45 – $1,229.45 | 1 |
| Cholesterol CPT 82465 | $18.02 | $34.00 | $4.35 – $20.08 | 17 |
| Cholesterol body fluid CPT 84999 | $41.87 | $79.00 | $37.86 – $39.50 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $50.88 | $96.00 | $13.39 – $87.35 | 17 |
| Cholinesterase CPT 82480 | $38.69 | $73.00 | $7.87 – $35.40 | 17 |
| Cholinesterase challenge CPT 95857 | not published | not published | $179.01 – $423.33 | 4 |
| Chorion biopsy CPT 59015 | not published | not published | $557.15 – $1,183.71 | 4 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $144.00 | 17 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $9.63 – $91.65 | 17 |
| Chromatography CPT 83021 | $58.30 | $110.00 | $18.06 – $81.45 | 17 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $53.13 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $407.57 | $769.00 | $57.04 – $368.58 | 15 |
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.