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 |
|---|---|---|---|---|
| Fibrin degradation products CPT 85362 | $58.30 | $110.00 | $6.89 – $30.71 | 17 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $31.88 | 17 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $38.09 | 17 |
| Fibrinogen activity CPT 85384 | $45.05 | $85.00 | $9.72 – $37.78 | 17 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $38.09 | 17 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $24.38 | $46.00 | $8.57 – $36.38 | 17 |
| Fibrinolytic antiplasmin CPT 85410 | $91.69 | $173.00 | $7.71 – $34.22 | 17 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $40.12 | 17 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $76.73 | 17 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $46.02 | 17 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $125.08 | $236.00 | $6.53 – $29.50 | 17 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $9,187.21 – $9,187.21 | 1 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $2,555.76 – $2,555.76 | 1 |
| Filtered speech hearing test CPT 92571 | not published | not published | $38.11 – $87.92 | 4 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,959.79 – $2,959.79 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $288.22 – $1,033.47 | 5 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $133.31 – $582.81 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $48.45 – $189.26 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $604.20 | $1,140.00 | $56.69 – $219.06 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $95.40 – $543.13 | 5 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $3,605.86 | $6,803.50 | $669.76 – $669.76 | 1 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,100.38 – $3,100.38 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $4,099.79 – $4,099.79 | 1 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $3,847.94 – $3,847.94 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $2,385.00 – $2,385.00 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $57.68 – $133.69 | 4 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $57.68 – $156.03 | 4 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $446.05 – $446.05 | 1 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $38.11 – $53.35 | 4 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $38.11 – $68.17 | 4 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $134.95 – $134.95 | 1 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $117.40 – $117.40 | 1 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $144.57 – $144.57 | 1 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $195.34 – $273.48 | 4 |
| Fixation of ankle joint CPT 27860 | not published | not published | $634.77 – $634.77 | 1 |
| Fixation of knee joint CPT 27570 | not published | not published | $547.97 – $547.97 | 1 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,520.19 – $3,520.19 | 1 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $910.39 – $2,660.27 | 4 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $2,402.53 – $2,402.53 | 1 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $64.31 | 14 |
| Fl exam g/colon tube w contrast CPT 49465 | $452.09 | $853.00 | $234.71 – $592.03 | 4 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $603.74 – $1,239.41 | 4 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,600.52 – $2,600.52 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,848.97 – $2,848.97 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $549.13 – $549.13 | 1 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $1,573.57 | $2,969.00 | $1,969.96 – $1,969.96 | 1 |
| Flow cytometry interp 16 or more CPT 88189 | $77.91 | $147.00 | $53.33 – $384.16 | 8 |
| Flow cytometry marker each additional CPT 88185 | $48.23 | $91.00 | $24.95 – $152.28 | 8 |
| Flow cytometry one marker technical component CPT 88184 | $181.79 | $343.00 | $24.95 – $489.02 | 11 |
| #flow interp 9 - 15 markers CPT 88188 | $63.07 | $119.00 | $53.33 – $310.81 | 8 |
| Flt3 gene CPT 81245 | $390.08 | $736.00 | $165.51 – $545.38 | 17 |
| Flt3 gene analysis CPT 81246 | $83.21 | $157.00 | $83.00 – $273.86 | 17 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $20.99 | $39.60 | $2.67 – $8.32 | 10 |
| Fluidotherapy charges pt CPT 97022 | $47.17 | $89.00 | $14.89 – $77.25 | 4 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $683.20 – $956.48 | 4 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $192.64 – $721.31 | 4 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $158.68 – $423.33 | 4 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $186.90 – $423.33 | 4 |
| Fluorescent antibody titer dna CPT 86256 | $56.18 | $106.00 | $12.05 – $54.30 | 17 |
| Fluoroestradiol f 18 HCPCS A9591 | $1,512.09 | $2,853.00 | $2,392.88 – $2,392.88 | 1 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $163.24 | $308.00 | $103.40 – $204.00 | 2 |
| Fluoroguide needle placement CPT 77002 | $158.47 | $299.00 | $95.53 – $204.00 | 2 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $85.01 | 17 |
| Fluoroscopy up to 1 hour CPT 76000 | $161.12 | $304.00 | $29.50 – $517.79 | 6 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $234.71 – $836.00 | 6 |
| Fmri brain by tech CPT 70554 | not published | not published | $234.71 – $836.00 | 6 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,208.93 | $2,281.00 | $406.09 – $1,691.89 | 5 |
| Fna bx w/ct gdn ea addl CPT 10010 | $604.20 | $1,140.00 | $222.57 – $1,020.04 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $406.09 – $1,693.98 | 5 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $222.57 – $1,023.33 | 2 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $85.01 | 17 |
| Folic acid CPT 82746 | $56.18 | $106.00 | $14.70 – $66.10 | 17 |
| Follow-up angiography CPT 75898 | $1,610.67 | $3,039.00 | $136.41 – $6,438.74 | 3 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,723.87 – $2,723.87 | 1 |
| Fondaparinux sodium HCPCS J1652 | $4.14 | $7.80 | $0.83 – $3.28 | 10 |
| Fo nontorsion joint cf HCPCS L3935 | $513.57 | $969.00 | $300.92 – $300.92 | 1 |
| Foot X-ray CPT 73630 | $170.66 | $322.00 | $28.81 – $204.00 | 6 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $4,103.75 – $4,103.75 | 1 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $734.30 – $2,124.79 | 8 |
| Forensic cytopathology CPT 88125 | not published | not published | $16.71 – $72.63 | 11 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $236.16 – $330.62 | 4 |
| Formoterol fumarate, inh HCPCS J7606 | $32.62 | $61.54 | $2.32 – $25.18 | 10 |
| Fractionation ketosteroids CPT 83593 | $128.26 | $242.00 | $28.50 – $118.06 | 17 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $29.98 – $204.00 | 6 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $147.56 | 14 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,621.18 – $2,621.18 | 1 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $8,413.35 – $8,413.35 | 1 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $3,942.87 – $3,942.87 | 1 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $7,142.58 – $7,142.58 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $8,518.13 – $8,518.13 | 1 |
| Free omental flap microvasc CPT 49906 | not published | not published | $8,092.27 – $8,092.27 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $5,776.05 – $5,776.05 | 1 |
| Free skin flap microvasc CPT 15757 | not published | not published | $8,408.35 – $8,408.35 | 1 |
| Frenectomy 41115 CPT 41115 | not published | not published | $921.72 – $921.72 | 1 |
| Frenotomy 40806 CPT 40806 | not published | not published | $417.65 – $692.29 | 4 |
| Frenulotomy of penis CPT 54164 | not published | not published | $706.09 – $706.09 | 1 |
| Fresh frozen plasma thawing ea un CPT 86927 | $102.29 | $193.00 | $21.83 – $232.95 | 11 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $38.11 – $316.37 | 11 |
| Frozen blood prep CPT 86930 | not published | not published | $71.07 – $371.84 | 11 |
| Frozen blood thaw CPT 86931 | not published | not published | $71.07 – $342.78 | 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.