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 |
|---|---|---|---|---|
| Control throat bleeding CPT 42962 | not published | not published | $1,919.53 – $1,919.53 | 1 |
| Conversion ext bil drg cath CPT 47535 | $2,341.01 | $4,417.00 | $3,996.66 – $3,996.66 | 1 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $3,262.30 – $3,262.30 | 1 |
| Conv gtube to jtube CPT 44373 | not published | not published | $735.22 – $735.22 | 1 |
| Coombs direct CPT 86880 | $31.80 | $60.00 | $5.66 – $80.75 | 14 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $6.01 – $232.95 | 14 |
| Coombs indirect titer reference CPT 86886 | $92.22 | $174.00 | $5.44 – $232.95 | 14 |
| Copper cu 64 dotatate diag HCPCS A9592 | $2,417.86 | $4,562.00 | $2,994.34 – $2,994.34 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,102.50 – $3,427.99 | 12 |
| Core ndl bx lng/med perq CPT 32408 | $3,707.88 | $6,996.00 | $3,399.45 – $3,399.45 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $3,323.21 – $3,323.21 | 1 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $2,645.17 – $2,645.17 | 1 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $2,669.49 – $2,669.49 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $21.62 – $80.75 | 4 |
| Corneal smear CPT 65430 | not published | not published | $387.48 – $542.47 | 4 |
| Corneal transplant CPT 65710 | not published | not published | $4,043.77 – $4,043.77 | 1 |
| Corneal transplant CPT 65730 | not published | not published | $4,483.12 – $4,483.12 | 1 |
| Corneal transplant CPT 65750 | not published | not published | $4,508.60 – $4,508.60 | 1 |
| Corneal transplant CPT 65755 | not published | not published | $4,484.21 – $4,484.21 | 1 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $4,333.40 – $4,333.40 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $10,695.40 | $20,180.00 | $1,157.63 – $1,157.63 | 1 |
| Coronary angio/lv gram/lt heart CPT 93458 | $11,072.23 | $20,891.00 | $1,026.87 – $1,026.87 | 1 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,534.28 | $19,876.00 | $1,288.43 – $1,288.43 | 1 |
| Coronary art/grft angio s&i CPT 93455 | $6,019.74 | $11,358.00 | $971.48 – $971.48 | 1 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $6,449.57 | $12,169.00 | $840.68 – $840.68 | 1 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $810.90 | $1,530.00 | $197.44 – $450.91 | 4 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,919.58 – $2,919.58 | 1 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $1,680.14 – $1,680.14 | 1 |
| Correct finger deformity CPT 26567 | not published | not published | $2,455.01 – $2,455.01 | 1 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $2,511.89 – $2,511.89 | 1 |
| Correction claw finger other CPT 26499 | not published | not published | $2,972.66 – $2,972.66 | 1 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $3,199.18 – $3,199.18 | 1 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $3,472.22 – $3,472.22 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $940.47 – $1,642.43 | 4 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,012.89 – $2,012.89 | 1 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $290.27 – $858.16 | 4 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $125.16 – $182.14 | 4 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $940.47 – $1,316.66 | 4 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $5,379.14 – $5,379.14 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $2,440.24 – $2,440.24 | 1 |
| Correct rectal prolapse CPT 45541 | not published | not published | $3,419.44 – $3,419.44 | 1 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $3,855.22 – $3,855.22 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $594.39 – $832.15 | 4 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $2,706.12 – $2,706.12 | 1 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $2,705.70 – $2,705.70 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | $81.62 | $154.00 | $32.62 – $254.99 | 17 |
| Cortisol total am CPT 82533 | $63.07 | $119.00 | $16.30 – $73.17 | 17 |
| Costotransversectomy CPT 21610 | not published | not published | $4,213.48 – $4,213.48 | 1 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $195.45 | $368.77 | $28.08 – $107.94 | 10 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $22.85 – $76.94 | 4 |
| Counseling smoke cess interm >10mins CPT 99407 | $41.34 | $78.00 | $28.93 – $73.82 | 4 |
| Cover eye w/membrane CPT 65778 | not published | not published | $940.47 – $5,182.65 | 4 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $4,356.38 – $4,356.38 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | not published | not published | $40.32 – $129.98 | 4 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $873.97 | $1,649.00 | $698.34 – $698.34 | 1 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $873.97 | $1,649.00 | $698.34 – $698.34 | 1 |
| #covid19rsv-rsv CPT 87634 | $198.75 | $375.00 | $70.20 – $284.49 | 14 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $39.22 | $74.00 | $9.63 – $30.62 | 17 |
| C-peptide CPT 84681 | $54.59 | $103.00 | $8.64 – $48.90 | 17 |
| Cptrized corneal topography CPT 92025 | not published | not published | $57.68 – $80.75 | 4 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $53.04 – $80.75 | 4 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $75.11 – $700.65 | 5 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $8,533.01 – $8,533.01 | 1 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $5,838.72 – $5,838.72 | 1 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $7,062.87 – $7,062.87 | 1 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $9,759.55 – $9,759.55 | 1 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $10,370.30 – $10,370.30 | 1 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $6,741.30 – $6,741.30 | 1 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $7,326.99 – $7,326.99 | 1 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $7,047.80 – $7,047.80 | 1 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $7,775.45 – $7,775.45 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $115.20 – $1,101.15 | 5 |
| C-reactive protein CPT 86140 | $36.57 | $69.00 | $5.18 – $23.60 | 17 |
| C-reactive protein high sensitivity CPT 86141 | $45.58 | $86.00 | $12.95 – $57.86 | 17 |
| C-reactive protein, quantitative CPT 86406 | $35.51 | $67.00 | $10.64 – $32.91 | 17 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $2,935.06 – $2,935.06 | 1 |
| Create eardrum opening CPT 69436 | not published | not published | $589.19 – $589.19 | 1 |
| Create passage to kidney CPT 52334 | not published | not published | $942.79 – $942.79 | 1 |
| Create tear duct drain CPT 68745 | not published | not published | $2,776.99 – $2,776.99 | 1 |
| Create tear duct drain CPT 68750 | not published | not published | $2,872.06 – $2,872.06 | 1 |
| Create tear sac drain CPT 68720 | not published | not published | $2,763.78 – $2,763.78 | 1 |
| Creatine isoforms CPT 82554 | not published | not published | $10.19 – $28.95 | 17 |
| Creatine kinase CPT 82550 | $32.33 | $61.00 | $6.51 – $29.50 | 17 |
| Creatine kinase isoenzymes CPT 82552 | $71.02 | $134.00 | $13.39 – $60.20 | 17 |
| Creatine kinase mb CPT 82553 | $61.48 | $116.00 | $10.19 – $28.95 | 17 |
| Creatine - sendout CPT 82540 | $23.32 | $44.00 | $4.64 – $21.25 | 17 |
| Creatinine CPT 82565 | $20.67 | $39.00 | $5.12 – $22.43 | 17 |
| Creatinine 24 hour urine CPT 82570 | $22.79 | $43.00 | $5.18 – $23.60 | 17 |
| Creatinine clearance urine CPT 82575 | $49.82 | $94.00 | $9.46 – $42.50 | 17 |
| #creutz-prot.,western blot CPT 84182 | $396.44 | $748.00 | $29.21 – $68.64 | 17 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $1,909.39 – $1,909.39 | 1 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,139.92 – $6,139.92 | 1 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $156.01 – $445.88 | 4 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | not published | not published | $212.94 – $212.94 | 1 |
| Critical care 30-74 minutes CPT 99291 | not published | not published | $730.62 – $2,633.00 | 5 |
| Critical care each additional 30 minutes CPT 99292 | not published | not published | $327.07 – $327.07 | 1 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $4,735.83 – $4,735.83 | 1 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $4,054.55 – $4,054.55 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $3,667.30 – $3,667.30 | 1 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $2,890.71 – $2,890.71 | 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.