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 |
|---|---|---|---|---|
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $2,558.01 | 14 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $918.38 | 14 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $36.75 – $80.75 | 4 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $7,520.31 – $7,520.31 | 1 |
| Apheresis plasma CPT 36514 | not published | not published | $1,949.19 – $1,949.19 | 1 |
| Apheresis platelets CPT 36513 | not published | not published | $354.57 – $594.31 | 4 |
| Apheresis rbc CPT 36512 | not published | not published | $350.10 – $350.10 | 1 |
| Apheresis wbc CPT 36511 | not published | not published | $347.52 – $347.52 | 1 |
| Apl(pml-rara) quant - sendout CPT 81315 | $438.31 | $827.00 | $207.31 – $930.19 | 17 |
| Appendectomy CPT 44950 | not published | not published | $2,312.94 – $2,312.94 | 1 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $302.17 – $302.17 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $3,149.24 – $3,149.24 | 1 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $2,165.12 – $2,165.12 | 1 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $1,164.39 – $1,164.39 | 1 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $307.02 – $307.02 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $126.22 – $126.22 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $1,066.71 – $1,066.71 | 1 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $256.33 – $256.33 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $97.65 – $97.65 | 1 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $153.22 – $1,031.72 | 4 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $257.88 – $884.35 | 4 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $257.88 – $822.20 | 4 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $257.88 – $709.04 | 4 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $257.88 – $361.03 | 4 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $257.88 – $445.92 | 4 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $257.88 – $809.56 | 4 |
| Appl halo type body cast CPT 29000 | not published | not published | $257.88 – $1,054.99 | 4 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $257.88 – $985.24 | 4 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $257.88 – $898.30 | 4 |
| Application clubfoot cast CPT 29450 | not published | not published | $153.22 – $527.16 | 4 |
| Application finger splntstatic 29130 CPT 29130 | not published | not published | $125.16 – $175.22 | 4 |
| Application halo femoral CPT 20663 | not published | not published | $1,700.17 – $1,700.17 | 1 |
| Application halo pelvic CPT 20662 | not published | not published | $1,598.31 – $1,598.31 | 1 |
| Application long leg splint 29505 CPT 29505 | not published | not published | $153.22 – $302.69 | 4 |
| Application lower leg splint 29515 CPT 29515 | not published | not published | $153.22 – $261.32 | 4 |
| Application multi layer compression below knee (both sides) CPT 29581 | $270.83 | $511.00 | $153.22 – $224.32 | 4 |
| Application of body cast CPT 29010 | not published | not published | $257.88 – $864.58 | 4 |
| Application of body cast CPT 29015 | not published | not published | $257.88 – $1,039.48 | 4 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $257.88 – $446.18 | 4 |
| Application of forearm cast 29075 CPT 29075 | not published | not published | $257.88 – $361.03 | 4 |
| Application of long arm cast 29065 CPT 29065 | not published | not published | $257.88 – $361.03 | 4 |
| Application of long leg cast CPT 29355 | not published | not published | $257.88 – $511.53 | 4 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $257.88 – $496.46 | 4 |
| Application of paste boot 29580 CPT 29580 | not published | not published | $153.22 – $214.51 | 4 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $257.88 – $361.03 | 4 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $541.48 – $541.48 | 1 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $508.59 – $508.59 | 1 |
| Appl long leg cast brace CPT 29358 | not published | not published | $257.88 – $583.15 | 4 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $4,071.97 – $4,071.97 | 1 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $52.47 | $99.00 | $5.76 – $35.90 | 4 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $11.19 – $63.34 | 4 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $38.11 – $53.35 | 3 |
| Appl multlay comprs arm/hand CPT 29584 | $191.33 | $361.00 | $153.22 – $255.54 | 4 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $257.88 – $424.25 | 4 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $2,157.99 – $2,157.99 | 1 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $153.22 – $286.73 | 4 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $125.16 – $280.20 | 4 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,815.02 – $1,815.02 | 1 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $153.22 – $349.69 | 4 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $673.70 – $1,219.54 | 4 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $673.70 – $947.09 | 4 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $561.71 – $786.39 | 4 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $561.71 – $786.39 | 4 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $57.68 – $186.02 | 4 |
| Apply rem fixation device CPT 20660 | not published | not published | $869.80 – $869.80 | 1 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $257.88 – $492.92 | 4 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $257.88 – $361.03 | 4 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $106.33 – $201.38 | 4 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $4,365.41 – $4,365.41 | 1 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $7,231.43 – $7,231.43 | 1 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $157.01 | 17 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $136.74 | $258.00 | $13.98 – $52.82 | 11 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $12.05 – $39.02 | 11 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $11.53 – $37.92 | 11 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $96.99 | $183.00 | $35.44 – $142.70 | 4 |
| Aquatic exercise - group charge CPT 97150 | $39.22 | $74.00 | $16.92 – $58.11 | 4 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $4,156.04 – $4,156.04 | 1 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $3,936.72 – $3,936.72 | 1 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $6,776.93 – $6,776.93 | 1 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $5,716.04 – $5,716.04 | 1 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $6,336.86 – $6,336.86 | 1 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $5,759.16 – $5,759.16 | 1 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $6,298.63 – $6,298.63 | 1 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $6,468.30 – $6,468.30 | 1 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $4,030.56 – $4,030.56 | 1 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $5,024.31 – $5,024.31 | 1 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $4,301.55 – $4,301.55 | 1 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $5,140.31 – $5,140.31 | 1 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $4,653.81 – $4,653.81 | 1 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $3,983.49 – $3,983.49 | 1 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $3,979.61 – $3,979.61 | 1 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $4,305.50 – $4,305.50 | 1 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $3,933.58 – $3,933.58 | 1 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $3,951.52 – $3,951.52 | 1 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $8,967.37 – $8,967.37 | 1 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $8,583.85 – $8,583.85 | 1 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $4,529.56 – $4,529.56 | 1 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $5,134.12 – $5,134.12 | 1 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $4,619.23 – $4,619.23 | 1 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $4,872.13 – $4,872.13 | 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.