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 |
|---|---|---|---|---|
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $2,545.91 – $2,545.91 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $198.81 – $832.15 | 4 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $81.12 – $81.12 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,136.42 – $1,136.42 | 1 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $263.56 – $263.56 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $446.22 – $446.22 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $387.95 – $543.13 | 4 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $57.68 – $117.01 | 4 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $57.68 – $163.26 | 4 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $683.20 – $1,922.70 | 4 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,578.18 – $2,578.18 | 1 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $2,100.66 – $2,100.66 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $2,818.35 – $2,818.35 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $147.41 – $147.41 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $192.94 – $402.06 | 4 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $683.20 – $1,774.47 | 4 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $78.11 – $78.11 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $594.39 – $832.15 | 4 |
| Decalcification CPT 88311 | $33.39 | $63.00 | $11.19 – $27.84 | 8 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $227.37 | $429.00 | $111.27 – $450.91 | 4 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $1,802.78 – $1,802.78 | 1 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $2,100.85 – $2,100.85 | 1 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $4,392.08 – $4,392.08 | 1 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,064.74 – $2,064.74 | 1 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,130.81 – $3,130.81 | 1 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $4,002.03 – $4,002.03 | 1 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $2,807.50 – $2,807.50 | 1 |
| Decompression fasct forearm CPT 24495 | not published | not published | $2,360.12 – $2,360.12 | 1 |
| Decompression of leg CPT 27892 | not published | not published | $2,006.11 – $2,006.11 | 1 |
| Decompression of leg CPT 27893 | not published | not published | $2,192.08 – $2,192.08 | 1 |
| Decompression of leg CPT 27894 | not published | not published | $3,113.24 – $3,113.24 | 1 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,507.59 – $1,507.59 | 1 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,591.96 – $1,591.96 | 1 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,960.97 – $1,960.97 | 1 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $2,102.00 – $2,102.00 | 1 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $2,334.87 – $2,334.87 | 1 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $2,531.89 – $2,531.89 | 1 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,941.95 – $1,941.95 | 1 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,336.24 – $1,336.24 | 1 |
| Decompressive craniotomy CPT 61322 | not published | not published | $8,446.40 – $8,446.40 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $4,200.32 – $4,200.32 | 1 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $5,778.59 – $5,778.59 | 1 |
| Decompress small bowel CPT 44021 | not published | not published | $3,516.46 – $3,516.46 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $5,285.60 – $5,285.60 | 1 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $6,304.45 – $6,304.45 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,123.33 – $1,123.33 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,035.04 – $1,035.04 | 1 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $3,381.43 – $3,381.43 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,293.30 – $1,293.30 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,665.71 – $1,665.71 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,600.69 – $1,600.69 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,176.22 – $1,176.22 | 1 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $328.61 – $328.61 | 1 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $3,371.47 – $3,371.47 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $4,634.08 – $4,634.08 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $3,263.74 | $6,158.00 | $2,484.34 – $2,484.34 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $111.30 | $210.00 | $56.54 – $276.50 | 4 |
| Denervation of hip joint CPT 27035 | not published | not published | $4,171.59 – $4,171.59 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $125.16 – $1,010.35 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,328.90 – $2,328.90 | 1 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $683.20 – $2,017.78 | 4 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $387.95 – $1,668.69 | 4 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,040.85 – $3,040.85 | 1 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $2,459.23 – $2,459.23 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,064.75 – $3,064.75 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,426.66 – $2,426.66 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $4,539.98 | $8,566.00 | $6,561.70 – $6,561.70 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $1,012.02 – $1,012.02 | 1 |
| Design mlc device for imrt CPT 77338 | not published | not published | $355.46 – $754.17 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $26.36 | $49.74 | $6.09 – $20.89 | 11 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $139.28 | 17 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $1,489.80 – $1,489.80 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $31,412.57 | $59,269.00 | $5,633.94 – $5,633.94 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $4,087.60 – $4,087.60 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $192.94 – $507.21 | 4 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $192.94 – $640.37 | 4 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $192.94 – $736.68 | 4 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $192.94 – $541.52 | 4 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $192.94 – $587.44 | 4 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $192.94 – $670.77 | 4 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $192.94 – $341.82 | 4 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $192.94 – $517.43 | 4 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $192.94 – $630.33 | 4 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $192.94 – $688.74 | 4 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,696.00 | $3,200.00 | $1,556.34 – $1,556.34 | 1 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $848.00 | $1,600.00 | $699.04 – $699.04 | 1 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $746.11 – $746.11 | 1 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $192.94 – $270.12 | 4 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $816.27 – $816.27 | 1 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $472.59 – $472.59 | 1 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $192.94 – $473.82 | 4 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $594.39 – $1,569.10 | 4 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $387.95 – $1,234.41 | 4 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,308.27 – $2,308.27 | 1 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $20.14 – $20.14 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $928.02 – $928.02 | 1 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,932.89 – $1,932.89 | 1 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $387.95 – $880.09 | 4 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $192.94 – $400.27 | 4 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $845.67 – $1,210.29 | 4 |
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.