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 |
|---|---|---|---|---|
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $683.20 – $956.48 | 4 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $683.20 – $956.48 | 4 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $783.04 – $783.04 | 1 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $680.65 – $956.48 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $994.68 – $994.68 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,717.74 – $1,717.74 | 1 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $225.49 – $590.01 | 4 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,041.19 – $1,041.19 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,502.18 – $1,502.18 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $434.84 – $434.84 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $1,699.84 – $1,699.84 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $2,320.66 – $2,320.66 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,297.26 – $1,297.26 | 1 |
| Drainage of kidney lesion CPT 50390 | $642.89 | $1,213.00 | $359.01 – $956.48 | 4 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $225.49 – $845.44 | 4 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,329.56 – $1,329.56 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,300.17 – $1,300.17 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $1,411.62 – $1,411.62 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $494.49 – $1,499.12 | 4 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $494.49 – $1,690.66 | 4 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,642.80 – $1,642.80 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,658.88 – $1,658.88 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,888.54 – $1,888.54 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $225.49 – $837.76 | 4 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $494.49 – $849.99 | 4 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $2,544.90 – $2,544.90 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,259.00 – $2,259.00 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,617.10 – $1,617.10 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,661.64 – $1,661.64 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,175.90 – $2,175.90 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $991.14 – $991.14 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,067.76 – $2,067.76 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $1,594.54 – $1,594.54 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $494.49 – $924.07 | 4 |
| Drainage of throat abscess CPT 42725 | not published | not published | $3,016.86 – $3,016.86 | 1 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $1,438.47 – $1,438.47 | 1 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $668.75 – $668.75 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $648.13 – $1,540.23 | 4 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,439.08 – $2,439.08 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $450.40 – $1,383.07 | 4 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $125.16 – $180.61 | 4 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $2,652.10 – $2,652.10 | 1 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $3,175.24 – $3,175.24 | 1 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $614.80 | $1,160.00 | $672.45 – $941.43 | 4 |
| Drain chest lesion CPT 21502 | not published | not published | $1,913.64 – $1,913.64 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $192.94 – $956.07 | 4 |
| Drain lower leg bursa CPT 27604 | not published | not published | $1,796.78 – $1,796.78 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $1,921.36 – $1,921.36 | 1 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $1,644.52 – $1,644.52 | 1 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $4,113.03 – $4,113.03 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,459.14 – $1,459.14 | 1 |
| Drain ovary abscess open CPT 58820 | not published | not published | $1,126.61 – $1,126.61 | 1 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $3,926.53 – $3,926.53 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,134.82 – $1,134.82 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $2,450.95 – $2,450.95 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $1,547.02 – $1,547.02 | 1 |
| Drain shoulder lesion CPT 23030 | not published | not published | $1,601.70 – $1,601.70 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,429.31 – $2,429.31 | 1 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $622.20 – $622.20 | 1 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,649.27 – $2,649.27 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $192.94 – $533.50 | 4 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $192.94 – $294.41 | 4 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $387.95 – $669.98 | 4 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,367.40 | $2,580.00 | $170.20 – $832.15 | 4 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $3,238.39 – $3,238.39 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $1,119.56 – $1,119.56 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,781.83 – $2,781.83 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,581.30 – $1,581.30 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $290.27 – $970.10 | 4 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,419.53 – $1,419.53 | 1 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $426.04 – $956.48 | 4 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $494.49 – $1,176.03 | 4 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,145.78 – $1,145.78 | 1 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,789.54 – $1,789.54 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,537.88 – $1,537.88 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,535.83 – $1,535.83 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $1,231.57 – $1,231.57 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $783.00 – $783.00 | 1 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $3,966.67 – $3,966.67 | 1 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,605.75 – $3,605.75 | 1 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,662.92 – $2,662.92 | 1 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $5,739.99 – $5,739.99 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $775.36 – $775.36 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $494.49 – $692.29 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $19.68 | $37.13 | $30.13 – $30.13 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $569.75 | $1,075.00 | $331.70 – $331.70 | 1 |
| Drug assay caffeine CPT 80155 | $34.98 | $66.00 | $23.40 – $90.64 | 17 |
| Drug assay posaconazole CPT 80187 | not published | not published | $27.11 – $88.46 | 14 |
| Drug assay rufinamide CPT 80210 | not published | not published | $27.11 – $93.53 | 14 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $38.57 – $125.86 | 14 |
| Drug assay voriconazole CPT 80285 | not published | not published | $27.11 – $88.46 | 14 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.64 – $60.69 | 11 |
| Drug of abuse screen urine CPT 80305 | $73.14 | $138.00 | $12.60 – $43.68 | 16 |
| Drug screen quant tiagabine CPT 80199 | $107.59 | $203.00 | $27.11 – $81.45 | 17 |
| Drug test def 8-14 classes HCPCS G0481 | $249.10 | $470.00 | $164.42 – $367.99 | 12 |
| Drug test prsmv instrmnt CPT 80306 | $48.76 | $92.00 | $17.14 – $59.03 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $668.86 | $1,262.00 | $62.14 – $234.91 | 16 |
| Drvvt confirm - quest CPT 85597 | $63.60 | $120.00 | $17.98 – $80.28 | 17 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,055.85 – $1,055.85 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,741.91 | $8,947.00 | $1,479.17 – $1,479.17 | 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.