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 |
|---|---|---|---|---|
| Frozen cell preparation CPT 88241 | not published | not published | $11.57 – $32.84 | 17 |
| Fructosamine glycated protein CPT 82985 | $39.75 | $75.00 | $16.76 – $55.55 | 17 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $782.67 – $782.67 | 1 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $536.60 – $536.60 | 1 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,561.74 – $4,877.58 | 11 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $227.82 | 14 |
| Ftl cgen abnor four anal CPT 81511 | $323.30 | $610.00 | $153.50 – $502.87 | 15 |
| Ftl cgen abnor three anal CPT 81510 | $218.89 | $413.00 | $55.54 – $197.95 | 15 |
| Ftl cgen abnor two proteins CPT 81508 | $127.73 | $241.00 | $54.30 – $178.25 | 15 |
| Full field erg w/i&r CPT 92273 | not published | not published | $126.62 – $423.33 | 4 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $40.88 – $517.79 | 6 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $3,672.22 – $3,672.22 | 1 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,793.88 – $2,793.88 | 1 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $495.23 – $495.23 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $3,388.71 – $3,388.71 | 1 |
| Functional brain mapping CPT 96020 | not published | not published | $551.00 – $551.00 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $79.87 – $175.22 | 4 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $3.21 | $6.05 | $0.47 – $2.54 | 10 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $11,680.72 – $11,680.72 | 1 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $4,910.84 – $4,910.84 | 1 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $5,337.11 – $5,337.11 | 1 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $5,014.95 – $5,014.95 | 1 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $4,692.53 – $4,692.53 | 1 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $5,287.31 – $5,287.31 | 1 |
| Fuse/graft added joint CPT 26863 | not published | not published | $833.80 – $833.80 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $10,916.11 – $10,916.11 | 1 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $5,993.51 – $5,993.51 | 1 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $4,673.99 – $4,673.99 | 1 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $3,939.22 – $3,939.22 | 1 |
| Fuse upper gi structures CPT 47721 | not published | not published | $4,879.62 – $4,879.62 | 1 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,617.86 – $2,617.86 | 1 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,950.65 – $2,950.65 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $3,750.40 – $3,750.40 | 1 |
| Fusion of big toe joint CPT 28750 | not published | not published | $2,999.82 – $2,999.82 | 1 |
| Fusion of big toe joint CPT 28755 | not published | not published | $1,880.18 – $1,880.18 | 1 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $4,225.75 – $4,225.75 | 1 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $377.96 – $377.96 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $2,035.50 – $2,035.50 | 1 |
| Fusion of finger tendons CPT 26471 | not published | not published | $2,213.57 – $2,213.57 | 1 |
| Fusion of finger tendons CPT 26474 | not published | not published | $2,151.54 – $2,151.54 | 1 |
| Fusion of foot bones CPT 28730 | not published | not published | $2,682.47 – $2,682.47 | 1 |
| Fusion of foot bones CPT 28735 | not published | not published | $2,864.68 – $2,864.68 | 1 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,102.13 – $3,102.13 | 1 |
| Fusion of hand joint CPT 26843 | not published | not published | $2,643.97 – $2,643.97 | 1 |
| Fusion of knee CPT 27580 | not published | not published | $5,208.61 – $5,208.61 | 1 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,493.13 – $2,493.13 | 1 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $2,520.32 – $2,520.32 | 1 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $2,948.19 – $2,948.19 | 1 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $3,005.04 – $3,005.04 | 1 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,864.30 – $2,864.30 | 1 |
| Fusion of skull arteries CPT 61711 | not published | not published | $9,216.98 – $9,216.98 | 1 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $3,073.30 – $3,073.30 | 1 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $4,055.22 – $4,055.22 | 1 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $2,483.17 – $2,483.17 | 1 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $2,336.21 – $2,336.21 | 1 |
| Fusion of thumb CPT 26841 | not published | not published | $2,607.90 – $2,607.90 | 1 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $2,478.85 – $2,478.85 | 1 |
| Fusion of toes CPT 28280 | not published | not published | $1,915.80 – $1,915.80 | 1 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $4,621.51 – $4,621.51 | 1 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $4,396.07 – $4,396.07 | 1 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $4,235.38 – $4,235.38 | 1 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $899.48 | 14 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $448.57 | 14 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $899.48 | 14 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $605.58 | 14 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $191.23 | 14 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $1,967.79 | 14 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $573.69 | 14 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,230.02 | 14 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $118.19 | $223.00 | $172.84 – $172.84 | 1 |
| Gabapentin non-blood CPT 80355 | not published | not published | $26.27 – $81.45 | 6 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $69.96 | $132.00 | $21.07 – $94.43 | 17 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $96.81 | 17 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $37.78 | 17 |
| Galectin-3 CPT 82777 | not published | not published | $26.02 – $103.99 | 17 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $2,366.57 – $2,366.57 | 1 |
| Gammaglobulin iga CPT 82784 | $42.40 | $80.00 | $9.30 – $41.33 | 17 |
| Gammaglobulin ige CPT 82785 | $51.94 | $98.00 | $16.46 – $74.38 | 17 |
| Gamma glutamyltransferase CPT 82977 | $27.03 | $51.00 | $7.20 – $31.88 | 17 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $157.01 | 17 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $187.68 | 17 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $24.81 | 17 |
| Gastric emptying imag study CPT 78265 | not published | not published | $164.77 – $848.52 | 5 |
| Gastric emptying imag study CPT 78266 | not published | not published | $182.54 – $1,101.15 | 5 |
| Gastric motility studies CPT 91020 | not published | not published | $253.54 – $721.31 | 4 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $116.40 – $848.52 | 5 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $79.07 | 17 |
| Gastroduodenostomy CPT 43810 | not published | not published | $3,662.04 – $3,662.04 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $113.30 – $848.52 | 5 |
| Gastroesophageal reflux test CPT 91034 | $1,141.09 | $2,153.00 | $171.84 – $721.31 | 4 |
| Gastrointestinal repair CPT 43360 | not published | not published | $8,542.15 – $8,542.15 | 1 |
| Gastrointestinal repair CPT 43361 | not published | not published | $9,257.82 – $9,257.82 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $4,832.40 – $4,832.40 | 1 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $4,698.68 – $4,698.68 | 1 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $7,061.86 – $7,061.86 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $910.39 – $2,100.55 | 4 |
| Gated heart multiple CPT 78473 | not published | not published | $243.74 – $848.52 | 5 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $154.64 | 14 |
| General health panel CPT 80050 | $182.32 | $344.00 | $59.01 – $149.90 | 8 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,570.99 – $8,009.28 | 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.