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 |
|---|---|---|---|---|
| Impedence cardiogram CPT 93701 | not published | not published | $20.94 – $175.22 | 4 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $1,261.34 – $1,261.34 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $2,647.11 – $2,647.11 | 1 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $5,793.32 – $5,793.32 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $4,343.03 – $4,343.03 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $5,394.10 – $5,394.10 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $5,635.36 – $5,635.36 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $4,499.57 – $4,499.57 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $3,116.23 – $3,116.23 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $339.84 – $542.47 | 4 |
| Implant nerve end CPT 64787 | not published | not published | $894.57 – $894.57 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $1,006.76 – $1,006.76 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,758.99 – $1,758.99 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $5,337.56 – $5,337.56 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $8,063.74 – $8,063.74 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $2,947.22 – $2,947.22 | 1 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $767.75 – $767.75 | 1 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $770.28 – $770.28 | 1 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $2,962.63 – $2,962.63 | 1 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $3,503.96 – $3,503.96 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $5,577.69 – $5,577.69 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $3,023.76 – $3,023.76 | 1 |
| Implant single ventricular device 33975 CPT 33975 | $4,438.75 | $8,375.00 | $4,757.84 – $4,757.84 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $3,128.87 – $3,128.87 | 1 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,314.94 – $1,314.94 | 1 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,411.62 – $1,411.62 | 1 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $4,749.15 – $4,749.15 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $3,387.25 – $3,387.25 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $1,764.88 | $3,329.97 | $307.99 – $307.99 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $4,889.81 – $4,889.81 | 1 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $779.38 – $779.38 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,469.28 – $1,469.28 | 1 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $2,312.38 – $2,312.38 | 1 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $2,311.48 – $2,311.48 | 1 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $3,957.01 – $3,957.01 | 1 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $2,402.01 – $2,402.01 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $310.49 – $310.49 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $7,643.22 – $7,643.22 | 1 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $9,125.59 – $9,125.59 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $6,885.43 – $6,885.43 | 1 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $6,999.38 – $6,999.38 | 1 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $10,486.97 – $10,486.97 | 1 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $6,233.58 – $6,233.58 | 1 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $6,461.11 – $6,461.11 | 1 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $6,874.46 – $6,874.46 | 1 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $225.49 – $2,802.16 | 4 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $9,257.30 – $9,257.30 | 1 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $6,107.54 – $6,107.54 | 1 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $5,817.83 – $5,817.83 | 1 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $6,690.69 – $6,690.69 | 1 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $3,692.25 – $3,692.25 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $4,709.05 | $8,885.00 | $5,924.60 – $5,924.60 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $4,929.53 | $9,301.00 | $450.70 – $6,548.59 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $218.72 – $982.44 | 3 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $1,618.15 – $1,618.15 | 1 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $2,102.71 – $2,102.71 | 1 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,836.69 – $1,836.69 | 1 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $6,383.19 – $6,383.19 | 1 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $5,328.79 – $5,328.79 | 1 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $5,321.44 – $5,321.44 | 1 |
| Incis addl spine segment CPT 22216 | not published | not published | $1,290.54 – $1,290.54 | 1 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $4,514.49 – $4,514.49 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,645.12 – $1,645.12 | 1 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $434.69 – $1,316.66 | 4 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $1,243.51 – $1,243.51 | 1 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,419.94 – $1,419.94 | 1 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,821.51 – $1,821.51 | 1 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,213.76 – $2,213.76 | 1 |
| Incise inner ear CPT 69801 | not published | not published | $715.30 – $715.30 | 1 |
| Incise inner ear nerve CPT 69915 | not published | not published | $5,653.30 – $5,653.30 | 1 |
| Incise inner ear nerve CPT 69950 | not published | not published | $6,550.48 – $6,550.48 | 1 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $532.70 – $1,124.78 | 4 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $1,725.57 – $1,725.57 | 1 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,157.92 – $2,157.92 | 1 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $2,300.55 – $2,300.55 | 1 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $2,417.38 – $2,417.38 | 1 |
| Incise inner eye strands CPT 67030 | not published | not published | $1,941.76 – $1,941.76 | 1 |
| Incise nerve back of head CPT 64744 | not published | not published | $1,743.63 – $1,743.63 | 1 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $964.99 – $964.99 | 1 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $4,529.86 – $4,529.86 | 1 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $5,603.43 – $5,603.43 | 1 |
| Incise skull for treatment CPT 61770 | not published | not published | $5,751.29 – $5,751.29 | 1 |
| Incise skull repair CPT 62121 | not published | not published | $5,780.12 – $5,780.12 | 1 |
| Incise skull/sutures CPT 61556 | not published | not published | $5,544.68 – $5,544.68 | 1 |
| Incise skull/sutures CPT 61557 | not published | not published | $5,725.25 – $5,725.25 | 1 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $1,545.34 – $1,545.34 | 1 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $5,681.83 – $5,681.83 | 1 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $4,846.39 – $4,846.39 | 1 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $4,539.37 – $4,539.37 | 1 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $4,086.44 – $4,086.44 | 1 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $290.27 – $406.38 | 4 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $2,784.59 – $2,784.59 | 1 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $1,742.43 – $1,742.43 | 1 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $1,591.52 – $1,591.52 | 1 |
| Incision anal septum infant CPT 46070 | not published | not published | $830.41 – $830.41 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,036.15 | $1,955.00 | $587.96 – $587.96 | 1 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $3,424.40 – $3,424.40 | 1 |
| Incision/fixation of femur CPT 27165 | not published | not published | $4,985.44 – $4,985.44 | 1 |
| Incision of achilles tendon CPT 27605 | $3,554.18 | $6,706.00 | $1,253.21 – $1,253.21 | 1 |
| Incision of achilles tendon CPT 27606 | not published | not published | $1,028.14 – $1,028.14 | 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.