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 |
|---|---|---|---|---|
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $1,995.77 – $1,995.77 | 1 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $2,093.35 – $2,093.35 | 1 |
| Amylase CPT 82150 | $43.99 | $83.00 | $6.48 – $29.50 | 17 |
| Ana ds-dna CPT 86226 | $50.88 | $96.00 | $12.11 – $54.30 | 17 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $160.59 | $303.00 | $32.60 – $81.45 | 6 |
| Anal pressure record CPT 91122 | not published | not published | $302.38 – $423.33 | 4 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $151.93 – $283.22 | 4 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $236.16 – $330.62 | 4 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $89.13 – $180.20 | 4 |
| Analysis gene f2 20210g>a variant CPT 81240 | $308.99 | $583.00 | $65.69 – $220.73 | 17 |
| Analysis gene f5 leiden variant CPT 81241 | $308.99 | $583.00 | $73.37 – $273.86 | 17 |
| Analysis nerve CPT 88356 | $559.15 | $1,055.00 | $51.88 – $274.79 | 11 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $36.21 – $135.63 | 4 |
| Analysis tumor CPT 88358 | $559.15 | $1,055.00 | $53.33 – $342.78 | 11 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $89.13 – $166.16 | 4 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $55.65 | $105.00 | $35.09 – $115.68 | 6 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $8,127.33 – $8,127.33 | 1 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $8,900.79 – $8,900.79 | 1 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $3,719.89 – $3,719.89 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $91.69 | $173.00 | $15.05 – $67.28 | 17 |
| An cholangiogram percutaneous compl CPT 47531 | $2,341.01 | $4,417.00 | $1,349.70 – $1,349.70 | 1 |
| Androstanediol CPT 82154 | not published | not published | $28.83 – $129.86 | 17 |
| An fluoro guide for cvp CPT 77001 | $138.86 | $262.00 | $64.41 – $204.00 | 2 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $4,560.65 | $8,605.00 | $2,621.37 – $2,621.37 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $13,868.48 – $13,868.48 | 1 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $11,425.85 – $11,425.85 | 1 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $4,544.22 | $8,574.00 | $4,384.17 – $4,384.17 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $20.52 – $92.08 | 17 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $19,708.42 – $19,708.42 | 1 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $5,867.10 | $11,070.00 | $3,119.21 – $3,119.21 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $11,733.67 | $22,139.00 | $7,713.75 – $7,713.75 | 1 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $5,867.10 | $11,070.00 | $2,287.31 – $2,287.31 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $11,733.67 | $22,139.00 | $5,340.20 – $5,340.20 | 1 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $2,470.08 – $2,470.08 | 1 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $2,170.67 – $2,170.67 | 1 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $1,822.48 – $1,822.48 | 1 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $1,745.19 – $1,745.19 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $1,853.66 – $1,853.66 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $2,066.12 – $2,066.12 | 1 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $3,768.46 – $3,768.46 | 1 |
| Ankle X-ray CPT 73610 | $158.47 | $299.00 | $29.98 – $204.00 | 6 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $291.22 – $465.28 | 4 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $86.74 – $316.11 | 2 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $86.74 – $337.02 | 2 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $105.67 – $351.16 | 2 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $105.67 – $408.07 | 2 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $19.62 – $19.62 | 1 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $195.34 – $574.43 | 4 |
| Anora (draw only) CPT 99001 | $33.92 | $64.00 | $7.66 – $21.96 | 4 |
| Anorectal myomectomy CPT 45108 | not published | not published | $1,320.20 – $1,320.20 | 1 |
| Anoscopy CPT 46611 | not published | not published | $634.51 – $1,239.41 | 4 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $518.99 – $518.99 | 1 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $817.43 – $817.43 | 1 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $2,246.09 – $2,246.09 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $463.53 – $463.53 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $838.43 – $1,239.41 | 4 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $814.82 – $814.82 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $927.87 – $927.87 | 1 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $193.80 – $423.33 | 4 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $2,433.00 – $2,433.00 | 1 |
| Antibody CPT 86744 | $27.03 | $51.00 | $9.63 – $37.58 | 17 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $41.87 | $79.00 | $9.63 – $30.27 | 17 |
| Antibody elution rbc reference CPT 86860 | $92.22 | $174.00 | $36.67 – $232.95 | 11 |
| Antibody htlv/hiv confirm test CPT 86689 | $67.84 | $128.00 | $19.35 – $87.35 | 17 |
| Antibody htlv-i CPT 86687 | $14.31 | $27.00 | $9.09 – $37.78 | 17 |
| Antibody htlv-ii CPT 86688 | $22.26 | $42.00 | $14.00 – $62.55 | 17 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $122.43 | $231.00 | $18.37 – $82.63 | 17 |
| Antibody id rbc panel CPT 86870 | $190.80 | $360.00 | $36.67 – $489.02 | 11 |
| Antibody influenza virus CPT 86710 | $54.06 | $102.00 | $13.55 – $61.38 | 17 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $33.92 | $64.00 | $9.63 – $30.24 | 17 |
| Antibody screen rbc CPT 86850 | $45.58 | $86.00 | $6.33 – $72.63 | 14 |
| Antibody tetanus CPT 86774 | $54.59 | $103.00 | $14.80 – $66.10 | 17 |
| Antidepressant not specified CPT 80338 | $181.26 | $342.00 | $141.00 – $141.00 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $44.80 – $70.82 | 4 |
| Antigen therapy services CPT 95146 | not published | not published | $44.80 – $127.81 | 4 |
| Antigen therapy services CPT 95147 | not published | not published | $69.11 – $115.02 | 4 |
| Antigen therapy services CPT 95148 | not published | not published | $69.11 – $170.85 | 4 |
| Antigen therapy services CPT 95149 | not published | not published | $69.11 – $230.18 | 4 |
| Antigen therapy services CPT 95165 | not published | not published | $41.72 – $62.72 | 4 |
| Antigen therapy services CPT 95170 | not published | not published | $31.28 – $62.72 | 4 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $1.85 | $3.49 | $1.25 – $2.78 | 9 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.05 – $39.02 | 11 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $50.88 | $96.00 | $12.05 – $39.02 | 11 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $19.08 | $36.00 | $12.05 – $39.02 | 11 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $2,561.13 – $2,561.13 | 1 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $2,659.04 – $2,659.04 | 1 |
| Antinuclear antibodies CPT 86038 | $47.17 | $89.00 | $12.09 – $48.96 | 17 |
| Antinuclear antibodies titer CPT 86039 | $47.70 | $90.00 | $11.16 – $49.58 | 17 |
| Antiphosphatidylserine antibody CPT 86148 | $28.62 | $54.00 | $9.63 – $37.76 | 17 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $25.98 | 17 |
| Antistreptolysin o titer CPT 86060 | $36.04 | $68.00 | $7.30 – $33.05 | 17 |
| Antithrombin iii activity CPT 85300 | $78.44 | $148.00 | $11.85 – $53.13 | 17 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $3,300.75 – $3,300.75 | 1 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $125.16 – $175.22 | 4 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $51.88 – $175.22 | 4 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $2,577.13 – $2,577.13 | 1 |
| Aortic dysfunction/dilation CPT 81410 | $7,173.55 | $13,535.00 | $504.00 – $6,487.33 | 15 |
| Aortic dysfunction/dilation CPT 81411 | $4,645.45 | $8,765.00 | $1,417.70 – $4,427.83 | 12 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $3,717.24 – $3,717.24 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $656.32 | 14 |
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.