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 |
|---|---|---|---|---|
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $573.69 | 14 |
| Cystatin c CPT 82610 | $73.67 | $139.00 | $18.52 – $61.38 | 17 |
| Cystic fibrosis cftr CPT 81223 | $3,576.44 | $6,748.00 | $499.00 – $3,234.32 | 15 |
| Cystine urine quantitative CPT 82131 | $100.70 | $190.00 | $22.98 – $75.56 | 17 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $1,756.90 – $1,756.90 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $194.51 | $367.00 | $53.92 – $828.27 | 6 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $10,139.56 – $10,139.56 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $395.16 – $907.38 | 4 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $3,266.58 – $3,266.58 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $2,699.85 – $2,699.85 | 1 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $9,370.69 – $9,370.69 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,599.61 – $1,599.61 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $882.37 – $882.37 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,377.13 – $2,377.13 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,488.36 – $2,488.36 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $905.61 – $905.61 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,061.56 – $1,061.56 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,443.06 – $1,443.06 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $774.05 – $774.05 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,320.90 – $1,320.90 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $973.38 – $973.38 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $1,190.13 – $1,190.13 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,003.74 – $1,003.74 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $648.13 – $1,012.40 | 4 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $898.22 – $898.22 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $1,032.39 – $1,032.39 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,068.31 – $1,068.31 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $1,026.79 – $1,026.79 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $880.88 – $880.88 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,496.89 – $1,496.89 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $907.32 – $907.32 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,784.06 – $1,784.06 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $648.13 – $907.38 | 4 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,126.16 – $1,126.16 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $648.13 – $1,342.80 | 4 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $1,236.64 – $1,236.64 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $964.58 – $964.58 | 1 |
| Cystoscopy removal of clots CPT 52001 | $5,945.54 | $11,218.00 | $1,351.27 – $1,351.27 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,284.87 – $1,284.87 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,733.03 – $1,733.03 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $1,181.89 – $1,181.89 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $959.95 – $959.95 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,058.50 – $1,058.50 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,719.60 – $1,719.60 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,860.76 – $2,860.76 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,114.19 – $1,114.19 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,359.47 – $1,359.47 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,535.38 – $1,535.38 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $1,721.47 – $1,721.47 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $1,530.27 – $1,530.27 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,443.06 – $1,443.06 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,643.18 – $1,643.18 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,302.85 – $1,302.85 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $1,453.06 – $1,453.06 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $982.44 – $982.44 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $984.42 – $984.42 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $1,329.07 – $1,329.07 | 1 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $3,425.37 – $3,425.37 | 1 |
| Cystourethro w/implant CPT 52441 | not published | not published | $4,479.36 – $4,479.36 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,266.97 – $1,266.97 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,135.97 – $1,135.97 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,044.96 – $1,044.96 | 1 |
| Cytogenetics 25-99 CPT 88274 | $119.25 | $225.00 | $42.38 – $155.80 | 17 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $119.03 | 17 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,218.00 – $3,769.40 | 11 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $2,951.10 | 14 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $49.82 | $94.00 | $14.39 – $64.93 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $51.94 | $98.00 | $9.63 – $39.60 | 17 |
| Cytomegalovirus dfa CPT 87271 | $108.12 | $204.00 | $13.42 – $54.30 | 17 |
| Cyto/molecular report CPT 88291 | not published | not published | $42.35 – $108.16 | 8 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $95.60 | 18 |
| Cytopath c/v index add-on CPT 88155 | $43.46 | $82.00 | $9.92 – $34.43 | 17 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $21.46 – $104.53 | 11 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $91.16 | $172.00 | $51.88 – $98.26 | 11 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $93.81 | $177.00 | $26.61 – $119.23 | 18 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $80.03 | $151.00 | $20.26 – $90.91 | 18 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $74.73 | $141.00 | $24.95 – $90.62 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $97.52 | $184.00 | $24.95 – $101.78 | 11 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $127.73 | $241.00 | $7.96 – $24.81 | 9 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $90.63 | $171.00 | $20.50 – $232.95 | 12 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $115.01 | $217.00 | $51.88 – $250.64 | 12 |
| Cytopath smear other source CPT 88160 | $58.30 | $110.00 | $21.46 – $101.43 | 11 |
| Cytopath smear other source CPT 88162 | $171.72 | $324.00 | $51.88 – $143.37 | 11 |
| Cytopath smear oth prep screen & interp CPT 88161 | $66.78 | $126.00 | $23.78 – $102.20 | 11 |
| Cytopath tbs c/v manual CPT 88164 | $81.09 | $153.00 | $14.39 – $47.23 | 18 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $65.50 – $184.83 | 17 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $133.38 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $484.95 | $915.00 | $82.47 – $903.22 | 11 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.52 | $0.98 | $0.04 – $0.41 | 10 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $192.94 – $808.19 | 4 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $728.32 – $728.32 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $930.86 – $930.86 | 1 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $14.18 | 17 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $231.78 – $423.33 | 4 |
| Dch validity tests CPT 81002 | $13.78 | $26.00 | $3.48 – $11.80 | 17 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $3,863.17 | $7,289.00 | $2,099.95 – $2,099.95 | 1 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $5,996.94 – $5,996.94 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,005.76 – $1,005.76 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $450.47 – $450.47 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | $7.42 | $14.00 | $12.05 – $37.92 | 11 |
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.