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 |
|---|---|---|---|---|
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $257.88 – $1,386.33 | 4 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $494.49 – $2,265.64 | 4 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $232.93 – $835.52 | 4 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $232.93 – $1,068.87 | 4 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $232.93 – $1,167.08 | 4 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,652.05 – $1,652.05 | 1 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $232.93 – $940.74 | 4 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $232.93 – $800.64 | 4 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $938.62 – $938.62 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,159.73 – $1,159.73 | 1 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $232.93 – $1,317.44 | 4 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $232.93 – $1,170.44 | 4 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $232.93 – $425.82 | 4 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $232.93 – $1,080.02 | 4 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $1,521.28 – $1,521.28 | 1 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $232.93 – $719.14 | 4 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $232.93 – $947.98 | 4 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $1,575.59 – $1,575.59 | 1 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $232.93 – $839.51 | 4 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $1,541.57 – $1,541.57 | 1 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $1,996.59 – $1,996.59 | 1 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $1,455.86 – $1,455.86 | 1 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,328.22 – $1,328.22 | 1 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $232.93 – $361.44 | 4 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $232.93 – $425.11 | 4 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $232.93 – $1,163.76 | 4 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $1,760.04 – $1,760.04 | 1 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $232.93 – $950.63 | 4 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $232.93 – $1,112.29 | 4 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $232.93 – $1,109.41 | 4 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $232.93 – $1,104.19 | 4 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $232.93 – $1,716.28 | 4 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $232.93 – $1,161.90 | 4 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $232.93 – $1,055.85 | 4 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $232.93 – $1,430.72 | 4 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,717.55 – $1,717.55 | 1 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,375.44 – $1,375.44 | 1 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $232.93 – $1,163.76 | 4 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,968.02 – $1,968.02 | 1 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $232.93 – $1,233.10 | 4 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,720.28 – $1,720.28 | 1 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $3,384.15 – $3,384.15 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $2,818.09 – $2,818.09 | 1 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $2,134.64 – $2,134.64 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,780.42 – $2,780.42 | 1 |
| Cltx post ankle fx CPT 27767 | not published | not published | $232.93 – $1,017.54 | 4 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,594.09 – $1,594.09 | 1 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,441.50 – $1,441.50 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $232.93 – $1,360.85 | 4 |
| Cltx thigh fx CPT 27267 | not published | not published | $1,582.68 – $1,582.68 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $2,593.43 – $2,593.43 | 1 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $3,012.68 – $3,012.68 | 1 |
| C motor evoked lwr limbs CPT 95929 | $378.95 | $715.00 | $269.89 – $721.31 | 4 |
| C motor evoked uppr limbs CPT 95928 | $554.91 | $1,047.00 | $269.69 – $1,383.07 | 4 |
| C motor evoked upr&lwr limbs CPT 95939 | $998.52 | $1,884.00 | $402.19 – $1,383.07 | 4 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $50.73 – $80.75 | 4 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $51.88 – $80.75 | 4 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $9.92 – $33.06 | 17 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $36.60 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $63.60 | $120.00 | $19.56 – $87.35 | 17 |
| Cmv pcr-sendout CPT 87496 | $153.17 | $289.00 | $35.09 – $157.01 | 17 |
| Co2 monitor per day CPT 94681 | not published | not published | $33.18 – $423.33 | 4 |
| Coagulation time activated teg CPT 85347 | $36.04 | $68.00 | $4.28 – $18.87 | 17 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.23 – $10.55 | 17 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $151.93 – $471.31 | 4 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $151.93 – $505.51 | 4 |
| Cold agglutinin screen (arc) CPT 86156 | $24.38 | $46.00 | $8.07 – $27.32 | 17 |
| Cold agglutinin titer CPT 86157 | $37.10 | $70.00 | $8.06 – $27.32 | 17 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $6,008.36 – $6,008.36 | 1 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $6,764.95 – $6,764.95 | 1 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $7,560.23 – $7,560.23 | 1 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $4,839.04 – $4,839.04 | 1 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $7,016.50 – $7,016.50 | 1 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $5,995.68 – $5,995.68 | 1 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $7,670.71 – $7,670.71 | 1 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $4,483.61 – $4,483.61 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $6,592.92 – $6,592.92 | 1 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $6,391.28 – $6,391.28 | 1 |
| Collar cerv ascend 172 reg HCPCS L0172 | $174.01 | $328.33 | $211.97 – $211.97 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | not published | not published | $83.70 – $175.22 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $93.92 – $175.22 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $15.90 | $30.00 | $3.48 – $12.73 | 17 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $302.38 – $464.20 | 4 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $885.29 – $1,371.04 | 4 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $961.56 – $961.56 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,859.48 – $1,859.48 | 1 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $2,777.95 – $2,777.95 | 1 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $885.29 – $1,610.28 | 4 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,510.69 – $1,510.69 | 1 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,146.56 – $1,146.56 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,703.83 – $1,703.83 | 1 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,633.22 – $1,633.22 | 1 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $885.29 – $1,274.91 | 4 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $11,874.34 – $11,874.34 | 1 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $2,372.32 – $2,372.32 | 1 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $2,648.67 – $2,648.67 | 1 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $2,874.34 – $2,874.34 | 1 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $882.52 – $1,239.41 | 4 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $2,212.90 – $2,212.90 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $983.34 – $983.34 | 1 |
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.