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 |
|---|---|---|---|---|
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $448.57 | 14 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $20.81 – $93.25 | 17 |
| Human ig IV CPT 90283 | not published | not published | $152.96 – $180.83 | 2 |
| Human ig sc CPT 90284 | not published | not published | $38.20 – $49.87 | 2 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $0.87 | $1.64 | $0.56 – $1.56 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $19.10 | $36.04 | $5.01 – $15.14 | 10 |
| Hydration IV infusion each additional hour CPT 96361 | $202.46 | $382.00 | $44.80 – $76.13 | 5 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $330.19 | $623.00 | $186.80 – $347.64 | 5 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $28.75 | $54.25 | $20.56 – $34.55 | 8 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $7.00 | $13.20 | $5.54 – $12.28 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $57.24 | $108.00 | $17.90 – $79.07 | 17 |
| Hymenotomy CPT 56442 | not published | not published | $173.48 – $173.48 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $3,682.29 – $3,682.29 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $363.83 – $363.83 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $16.43 | $31.00 | $9.63 – $27.32 | 17 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $382.19 – $943.18 | 4 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $255.36 – $357.50 | 4 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $274.45 – $786.39 | 4 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $281.80 – $786.39 | 4 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $366.15 – $786.39 | 4 |
| Hypnotherapy CPT 90880 | not published | not published | $89.82 – $339.76 | 4 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $766.87 – $766.87 | 1 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $3,921.42 – $3,921.42 | 1 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $3,555.70 – $3,555.70 | 1 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $3,795.01 – $3,795.01 | 1 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $3,277.74 – $3,277.74 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $943.17 – $943.17 | 1 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $64.89 – $517.79 | 6 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $6,010.97 – $6,010.97 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,460.41 – $1,460.41 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,123.59 – $1,123.59 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,235.49 – $1,235.49 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,510.87 – $1,510.87 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,977.38 – $1,977.38 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,393.83 – $1,393.83 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $2,873.22 – $2,873.22 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $676.03 – $676.03 | 1 |
| I-123 iobenguane diag HCPCS A9582 | $4,578.67 | $8,639.00 | $3,303.28 – $3,303.28 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $54.30 | 17 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $157.01 | 17 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $57.86 | 17 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $147.42 | 11 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,570.99 – $8,084.45 | 3 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $215.66 – $423.33 | 4 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $38.11 – $53.35 | 4 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $25.16 – $80.75 | 4 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $14.69 – $33.29 | 4 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $3,357.26 – $3,357.26 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $1,677.05 – $1,677.05 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,023.74 – $1,023.74 | 1 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.88 – $82.47 | 6 |
| Idet 1 or more levels CPT 22527 | not published | not published | $7,187.26 – $7,187.26 | 1 |
| Idet single level CPT 22526 | not published | not published | $8,658.71 – $8,658.71 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,901.07 – $1,901.07 | 1 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $633.90 | 14 |
| Idh2 common variants CPT 81121 | $271.36 | $512.00 | $295.79 – $970.32 | 14 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $1,568.95 – $1,568.95 | 1 |
| I&d lacrimal gland CPT 68400 | not published | not published | $940.47 – $1,316.66 | 4 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,165.63 – $1,165.63 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $1,274.24 – $1,274.24 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $1,121.28 – $1,121.28 | 1 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $613.88 – $613.88 | 1 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $247.89 | 14 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $715.22 | 14 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $195.96 | 17 |
| Igh gene rearrange amp meth CPT 81261 | $141.51 | $267.00 | $197.99 – $888.86 | 17 |
| Igh@ var region somatic mutation analy CPT 81263 | $308.99 | $583.00 | $294.52 – $1,322.11 | 17 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $670.47 | 17 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $111.30 | $210.00 | $26.40 – $144.45 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $339.73 | $641.00 | $112.51 – $489.02 | 11 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $113.42 | $214.00 | $32.97 – $232.95 | 12 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $21.25 – $50.01 | 3 |
| Ikbkap gene CPT 81260 | $354.57 | $669.00 | $39.31 – $320.65 | 15 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $3,780.09 – $3,780.09 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $9,624.71 – $9,624.71 | 1 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,601.66 | $3,022.00 | $20.27 – $20.27 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $2,420.51 | $4,567.00 | $3,201.05 – $3,201.05 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $3,234.28 – $3,234.28 | 1 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $47.23 – $80.75 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $38.11 – $53.35 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $57.68 – $157.73 | 4 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $59.26 – $59.26 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $110.26 – $110.26 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $131.00 – $131.00 | 1 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $216.65 | $408.78 | $154.86 – $154.86 | 1 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $3,676.25 – $3,676.25 | 1 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $109.78 | 17 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $98.57 – $324.79 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $71.55 | $135.00 | $20.81 – $93.25 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $67.31 | $127.00 | $20.81 – $93.25 | 17 |
| Immunoassay tumor qual CPT 86294 | $128.79 | $243.00 | $25.57 – $74.83 | 17 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $39.22 | $74.00 | $11.98 – $54.30 | 17 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $62.55 | 17 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $31.42 – $106.64 | 13 |
| Immunofixation electrophoresis serum CPT 86334 | $84.27 | $159.00 | $22.34 – $62.96 | 17 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $216.24 | $408.00 | $60.81 – $179.45 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $496.08 | $936.00 | $53.33 – $342.78 | 11 |
| Immunoglobulin assay CPT 86023 | $69.96 | $132.00 | $12.46 – $55.48 | 17 |
| Immunology procedure CPT 86849 | not published | not published | not published | 0 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $40.83 – $40.83 | 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.