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 |
|---|---|---|---|---|
| Incision of anal sphincter CPT 46080 | not published | not published | $892.96 – $892.96 | 1 |
| Incision of ankle bone CPT 28302 | not published | not published | $2,593.58 – $2,593.58 | 1 |
| Incision of bile duct CPT 47425 | not published | not published | $4,875.00 – $4,875.00 | 1 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $4,833.33 – $4,833.33 | 1 |
| Incision of brain tissue CPT 61541 | not published | not published | $7,658.51 – $7,658.51 | 1 |
| Incision of brain tissue CPT 61567 | not published | not published | $9,131.41 – $9,131.41 | 1 |
| Incision of breast lesion CPT 19020 | not published | not published | $1,694.35 – $1,694.35 | 1 |
| Incision of brow nerve CPT 64732 | not published | not published | $1,366.82 – $1,366.82 | 1 |
| Incision of burn scab initi CPT 16035 | not published | not published | $387.95 – $711.95 | 4 |
| Incision of cheek nerve CPT 64734 | not published | not published | $1,504.09 – $1,504.09 | 1 |
| Incision of chin nerve CPT 64736 | not published | not published | $1,451.34 – $1,451.34 | 1 |
| Incision of eardrum CPT 69420 | not published | not published | $225.49 – $699.82 | 4 |
| Incision of eardrum CPT 69421 | not published | not published | $547.27 – $547.27 | 1 |
| Incision of esophagus CPT 43020 | not published | not published | $1,924.94 – $1,924.94 | 1 |
| Incision of eye CPT 65850 | not published | not published | $3,067.40 – $3,067.40 | 1 |
| Incision of eye CPT 66172 | not published | not published | $4,445.60 – $4,445.60 | 1 |
| Incision of eyelid CPT 67710 | not published | not published | $808.85 – $1,316.66 | 4 |
| Incision of facial nerve CPT 64742 | not published | not published | $1,788.80 – $1,788.80 | 1 |
| Incision of fibula CPT 27707 | not published | not published | $1,468.28 – $1,468.28 | 1 |
| Incision of finger tendon CPT 26455 | not published | not published | $1,446.05 – $1,446.05 | 1 |
| Incision of foot fascia CPT 28008 | not published | not published | $1,592.93 – $1,592.93 | 1 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,483.57 – $1,483.57 | 1 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $3,155.32 – $3,155.32 | 1 |
| Incision of heel bone CPT 28300 | not published | not published | $2,365.38 – $2,365.38 | 1 |
| Incision of hip bone CPT 27146 | not published | not published | $4,666.01 – $4,666.01 | 1 |
| Incision of hip bones CPT 27151 | not published | not published | $5,769.45 – $5,769.45 | 1 |
| Incision of hip tendon CPT 27000 | $3,945.32 | $7,444.00 | $1,469.73 – $1,469.73 | 1 |
| Incision of hip tendon CPT 27001 | not published | not published | $1,938.41 – $1,938.41 | 1 |
| Incision of hip tendon CPT 27003 | not published | not published | $2,155.60 – $2,155.60 | 1 |
| Incision of hip tendons CPT 27006 | not published | not published | $2,663.03 – $2,663.03 | 1 |
| Incision of iris CPT 66500 | not published | not published | $1,288.57 – $1,288.57 | 1 |
| Incision of iris CPT 66505 | not published | not published | $1,414.42 – $1,414.42 | 1 |
| Incision of jaw joint CPT 21010 | not published | not published | $2,720.48 – $2,720.48 | 1 |
| Incision of jaw nerve CPT 64738 | not published | not published | $1,546.68 – $1,546.68 | 1 |
| Incision of knee joint CPT 27435 | not published | not published | $2,911.15 – $2,911.15 | 1 |
| Incision of liver duct CPT 47400 | not published | not published | $7,747.06 – $7,747.06 | 1 |
| Incision of lymph channels CPT 38308 | not published | not published | $1,591.40 – $1,591.40 | 1 |
| Incision of metatarsal CPT 28306 | not published | not published | $2,245.61 – $2,245.61 | 1 |
| Incision of metatarsal CPT 28307 | not published | not published | $2,508.54 – $2,508.54 | 1 |
| Incision of metatarsal CPT 28308 | not published | not published | $2,080.30 – $2,080.30 | 1 |
| Incision of metatarsals CPT 28309 | not published | not published | $3,317.91 – $3,317.91 | 1 |
| Incision of midfoot bones CPT 28304 | not published | not published | $2,982.92 – $2,982.92 | 1 |
| Incision of neck of femur CPT 27161 | not published | not published | $4,395.62 – $4,395.62 | 1 |
| Incision of palm tendon CPT 26450 | not published | not published | $1,467.38 – $1,467.38 | 1 |
| Incision of prostate CPT 52450 | not published | not published | $1,722.70 – $1,722.70 | 1 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $2,482.87 – $2,482.87 | 1 |
| Incision of rectal abscess CPT 46060 | not published | not published | $1,729.68 – $1,729.68 | 1 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $3,128.65 – $3,128.65 | 1 |
| Incision of sperm duct CPT 55200 | not published | not published | $1,579.58 – $1,579.58 | 1 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $2,032.78 – $2,032.78 | 1 |
| Incision of stomach nerves CPT 64755 | not published | not published | $3,307.24 – $3,307.24 | 1 |
| Incision of tendon & muscle CPT 23405 | $4,505.53 | $8,501.00 | $2,258.52 – $2,258.52 | 1 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,225.98 – $1,225.98 | 1 |
| Incision of thigh CPT 27448 | not published | not published | $2,791.76 – $2,791.76 | 1 |
| Incision of thigh CPT 27450 | not published | not published | $3,659.24 – $3,659.24 | 1 |
| Incision of thigh tendon CPT 27306 | not published | not published | $1,289.13 – $1,289.13 | 1 |
| Incision of thigh tendon CPT 27390 | not published | not published | $1,622.66 – $1,622.66 | 1 |
| Incision of thigh tendons CPT 27307 | not published | not published | $1,668.95 – $1,668.95 | 1 |
| Incision of thigh tendons CPT 27391 | not published | not published | $2,087.61 – $2,087.61 | 1 |
| Incision of thigh tendons CPT 27392 | not published | not published | $2,577.80 – $2,577.80 | 1 |
| Incision of tibia CPT 27705 | not published | not published | $2,749.46 – $2,749.46 | 1 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $4,238.59 – $4,238.59 | 1 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,182.93 – $1,182.93 | 1 |
| Incision of tongue fold CPT 41010 | not published | not published | $752.60 – $752.60 | 1 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,673.46 – $1,673.46 | 1 |
| Incision of urethra CPT 53000 | not published | not published | $541.63 – $541.63 | 1 |
| Incision of urethra CPT 53010 | not published | not published | $1,081.74 – $1,081.74 | 1 |
| Incision of urethra CPT 53020 | not published | not published | $356.33 – $356.33 | 1 |
| Incision of urethra CPT 53025 | not published | not published | $263.19 – $263.19 | 1 |
| Incision of vagus nerve CPT 64760 | not published | not published | $1,812.52 – $1,812.52 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $933.40 – $933.40 | 1 |
| Incision of windpipe CPT 31610 | not published | not published | $2,612.34 – $2,612.34 | 1 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,632.81 – $1,632.81 | 1 |
| Incision secondary cataract CPT 66820 | not published | not published | $1,421.09 – $1,421.09 | 1 |
| Incision tendon sheath CPT 26055 | not published | not published | $2,035.13 – $2,035.13 | 1 |
| Incisn of toe tndn CPT 28010 | not published | not published | $852.04 – $852.04 | 1 |
| Incisn windpipe CPT 31600 | not published | not published | $1,442.35 – $1,442.35 | 1 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $2,058.03 – $2,058.03 | 1 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $8,590.71 – $8,590.71 | 1 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $8,741.67 – $8,741.67 | 1 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $311.83 – $311.83 | 1 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $1,743.36 – $1,743.36 | 1 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,920.58 – $1,920.58 | 1 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $1,484.09 – $1,484.09 | 1 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $1,368.61 – $1,368.61 | 1 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,866.31 – $1,866.31 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $775.95 – $775.95 | 1 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $1,366.00 – $1,366.00 | 1 |
| Induction of vomiting CPT 99175 | not published | not published | $55.35 – $55.35 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $242.19 | 5 |
| Infect ag drug suscept pheno predict CPT 87900 | $295.74 | $558.00 | $130.35 – $585.50 | 17 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $54.30 | 17 |
| Infect ag eia influenza a or b ea CPT 87400 | $42.40 | $80.00 | $14.13 – $54.30 | 17 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $257.45 – $1,155.65 | 17 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $257.45 – $1,155.65 | 17 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $836.87 | $1,579.00 | $128.73 – $577.22 | 17 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $836.87 | $1,579.00 | $257.45 – $1,155.65 | 17 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $66.25 | $125.00 | $32.77 – $108.61 | 17 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $19.83 – $82.93 | 17 |
| Infect ag ia optc obs influenza CPT 87804 | $47.17 | $89.00 | $16.55 – $54.30 | 17 |
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.