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 |
|---|---|---|---|---|
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $1,498.42 – $1,498.42 | 1 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $1,480.96 – $1,480.96 | 1 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $4,836.06 – $4,836.06 | 1 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $5,112.82 – $5,112.82 | 1 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $1,796.22 – $1,796.22 | 1 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $998.11 – $998.11 | 1 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $1,502.41 – $1,502.41 | 1 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $1,265.63 – $1,265.63 | 1 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $1,227.10 – $1,227.10 | 1 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $81.26 – $81.26 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $125.16 – $196.62 | 4 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $329.94 – $329.94 | 1 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $89.42 – $89.42 | 1 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $125.16 – $203.69 | 4 |
| Extended culture of oocytes CPT 89272 | not published | not published | $82.47 – $1,110.52 | 6 |
| Extended visual field xm CPT 92083 | not published | not published | $94.18 – $175.22 | 4 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $3,844.29 – $3,844.29 | 1 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $6,117.91 – $6,117.91 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,950.67 – $3,950.67 | 1 |
| Extensive hysterectomy CPT 58285 | not published | not published | $4,839.04 – $4,839.04 | 1 |
| Extensive jaw surgery CPT 21045 | not published | not published | $4,522.29 – $4,522.29 | 1 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $4,516.51 – $4,516.51 | 1 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,085.68 – $6,085.68 | 1 |
| Extensive prostate surgery CPT 55810 | not published | not published | $4,835.83 – $4,835.83 | 1 |
| Extensive prostate surgery CPT 55812 | not published | not published | $5,909.74 – $5,909.74 | 1 |
| Extensive prostate surgery CPT 55815 | not published | not published | $6,497.62 – $6,497.62 | 1 |
| Extensive prostate surgery CPT 55840 | not published | not published | $4,304.57 – $4,304.57 | 1 |
| Extensive prostate surgery CPT 55842 | not published | not published | $4,302.33 – $4,302.33 | 1 |
| Extensive prostate surgery CPT 55845 | not published | not published | $5,013.53 – $5,013.53 | 1 |
| Extensive prostate surgery CPT 55862 | not published | not published | $4,209.83 – $4,209.83 | 1 |
| Extensive prostate surgery CPT 55865 | not published | not published | $4,899.43 – $4,899.43 | 1 |
| Extensive removal of liver CPT 47122 | not published | not published | $12,366.82 – $12,366.82 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $3,798.48 – $3,798.48 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $5,202.87 – $5,202.87 | 1 |
| Extensive surgery of throat CPT 42845 | not published | not published | $8,372.62 – $8,372.62 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $2,728.94 – $2,728.94 | 1 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $6,096.69 – $6,096.69 | 1 |
| Extensive vulva surgery CPT 56632 | not published | not published | $4,946.32 – $4,946.32 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $758.79 – $758.79 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $283.02 | $534.00 | $144.61 – $559.52 | 17 |
| External ocular photography CPT 92285 | not published | not published | $10.27 – $53.35 | 4 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $214.12 | $404.00 | $21.46 – $112.13 | 11 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $4,066.65 – $11,266.11 | 14 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $276.66 | $522.00 | $82.42 – $337.81 | 17 |
| Extnd color vision xm CPT 92283 | not published | not published | $30.70 – $80.75 | 4 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $54.06 | $102.00 | $17.93 – $80.28 | 17 |
| Extraction of lens CPT 66930 | not published | not published | $3,131.48 – $3,131.48 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $2,859.42 – $2,859.42 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,755.65 – $2,755.65 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $114.68 – $175.22 | 4 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $108.47 – $108.47 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,122.69 – $1,122.69 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $546.74 – $546.74 | 1 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $573.70 | 14 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $925.46 | 14 |
| F-18 fdg pet diag HCPCS A9552 | $1,487.71 | $2,807.00 | $541.92 – $541.92 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $1,967.79 | 14 |
| Face bone graft CPT 21210 | not published | not published | $8,441.85 – $8,441.85 | 1 |
| Facial bones <3 CPT 70140 | $147.87 | $279.00 | $35.98 – $204.00 | 6 |
| Facial nerve function test CPT 92516 | not published | not published | $233.61 – $423.33 | 4 |
| Factor ix CPT 85250 | $111.30 | $210.00 | $19.04 – $85.01 | 17 |
| Factor viii CPT 85240 | $114.48 | $216.00 | $11.58 – $42.06 | 17 |
| Fallopian tube recnl CPT 58345 | not published | not published | $984.68 – $984.68 | 1 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $28.93 – $109.85 | 4 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $156.01 – $345.10 | 4 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $156.01 – $357.27 | 4 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $120.41 | 14 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,311.72 – $3,311.72 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $25.97 | $49.00 | $5.10 – $22.43 | 17 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $60.20 | 17 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $20.08 | 17 |
| #fecal-sodium CPT 84302 | $24.38 | $46.00 | $4.86 – $22.43 | 17 |
| Feeding tube reposition CPT 74355 | not published | not published | $130.72 – $204.00 | 2 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $140.39 – $140.39 | 1 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $215.42 – $690.98 | 4 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $34.98 | $66.00 | $18.64 – $64.31 | 14 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $862.97 – $862.97 | 1 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $32,801.43 – $32,801.43 | 1 |
| Feno poc CPT 95012 | not published | not published | $38.11 – $62.36 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $1.78 | $3.35 | $1.05 – $2.59 | 10 |
| Fern test HCPCS Q0114 | $18.02 | $34.00 | $10.23 – $22.89 | 12 |
| Ferritin CPT 82728 | $53.53 | $101.00 | $13.63 – $61.38 | 17 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $2,606.41 | 14 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $103.26 – $519.00 | 6 |
| Fetal chrmoml microdeltj CPT 81422 | $1,206.81 | $2,277.00 | $759.05 – $2,639.46 | 16 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,206.81 | $2,277.00 | $759.05 – $2,639.46 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $122.01 – $273.48 | 4 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $295.37 – $726.90 | 4 |
| Fetal fibronectin CPT 82731 | $222.60 | $420.00 | $64.41 – $289.21 | 17 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $295.37 – $1,380.62 | 4 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $76.32 | $144.00 | $7.73 – $34.22 | 17 |
| Fetal hemoglobin rosette CPT 85461 | $35.51 | $67.00 | $9.36 – $29.50 | 17 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $50.88 | $96.00 | $19.32 – $85.01 | 17 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $150.28 – $150.28 | 1 |
| Fetal monitor w/report CPT 59050 | not published | not published | $181.02 – $181.02 | 1 |
| Fetal non stress test CPT 59025 | not published | not published | $65.83 – $273.48 | 4 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $295.37 – $413.52 | 4 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $295.37 – $1,743.22 | 4 |
| #_fet/norfentcnfrmur CPT 80354 | $73.14 | $138.00 | $32.60 – $81.45 | 6 |
| Fibrin degradation d dimer quantitative CPT 85379 | $63.60 | $120.00 | $10.18 – $38.09 | 17 |
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.